Mountain West Surgery & Sedation PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

MOUNTAIN WEST SURGERY & SEDATION PLLC

Practice address

432 Butterfield Rd
Chino Valley, AZ 86323-5613

Phone

(928) 636-1565

NPI assigned

Oct 3, 2022

Last updated

Oct 3, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeremiah Gilge, DDSNPI 1750991246

Title

Founder

Phone

(360) 867-8617

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeremiah Gilge, DDS

  • Dentist
  • Phoenix, AZ
  • NPI 1750991246
  NPD Authorized official

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664755200000",
    "number": "1912621871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3714 E WINDSONG DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850487900",
            "telephone_number": "360-867-8617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 BUTTERFIELD RD",
            "city": "CHINO VALLEY",
            "state": "AZ",
            "postal_code": "863235613",
            "telephone_number": "928-636-1565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN WEST SURGERY & SEDATION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A",
        "authorized_official_last_name": "GILGE",
        "authorized_official_first_name": "JEREMIAH",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "360-867-8617",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawncey McPherson, PA-C
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• Jennifer Lou Miller, RN
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• Dentist in Chino Valley, AZ
• Providers in Chino Valley, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.