Organization Active NPI

Maricopa Family Dentistry & Orthodontics

  • General Practice Dentistry
  • Maricopa, AZ
National Provider Identifier
1912038076
Registry record updated Nov 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5625 Issued in AZ
Legal business name
MARICOPA FAMILY DENTISTRY & ORTHODONTICS
Practice address
44480 West Honeycutt Road
Suite 110
Maricopa, AZ 85239-2909
Phone
(520) 568-9100
Fax
(520) 568-9190
NPI assigned
Mar 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jared Pope, DDS
Title
Owner
Phone
(520) 568-9100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 5625 AZ Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 5769 AZ

Addresses

Primary practice location

44480 West Honeycutt Road
Suite 110
Maricopa, AZ 85239-2909

Mailing address

44480 West Honeycutt Road
Suite 110
Maricopa, AZ 85239-2909
Phone (520) 568-9100

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321401600000",
    "number": "1912038076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44480 WEST HONEYCUTT ROAD",
            "address_2": "SUITE 110",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "852392909",
            "telephone_number": "520-568-9100",
            "fax_number": "520-568-9190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44480 WEST HONEYCUTT ROAD",
            "address_2": "SUITE 110",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "852392909",
            "telephone_number": "520-568-9100",
            "fax_number": "520-568-9190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARICOPA FAMILY DENTISTRY & ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2011-11-16",
        "status": "A",
        "authorized_official_last_name": "POPE",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-568-9100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "5625",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "5769",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maricopa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.