Lake Pleasant Family Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D4643 Issued in AZ

Legal business name

LAKE PLEASANT FAMILY DENTAL

Practice address

20542 N Lake Pleasant Rd
Peoria, AZ 85382-9749

Phone

(623) 435-0080

Fax

(623) 435-0091

NPI assigned

Nov 14, 2006

Organization subpart

No

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

Authorized official

Name

Aaron Johnson

Title

Doctor

Phone

(623) 435-0080

Specialties & licenses 1

Addresses

Other names 1

• Aaron A. Johnson, D.D.S., P.C. Former legal business name

Locations

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912079997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20542 N LAKE PLEASANT RD",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853829749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20542 N LAKE PLEASANT RD",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853829749",
            "telephone_number": "623-435-0080",
            "fax_number": "623-435-0091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE PLEASANT FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "623-435-0080"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D4643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aaron A. Johnson, D.D.S., P.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Holly J Lago, C-FNP
• Pam Laha, PT
• Tung Thanh Lai, RPH
• Lake Pleasant Chiropractic, LLC
• Lake Pleasant Dentistry PC
• Lake Pleasant Healthcare, Inc.
• Lake Pleasant Healthcare, Inc.
• Lake Pleasant Internal Medicine PLC
• Lake Pleasant Kids Dentists and Orthodontics, LLP
• Lake Pleasant Orthodontic Specialists

• General Practice Dentistry in Peoria, AZ
• Providers in Peoria, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.