Higley Park Dental Care

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D7856 Issued in AZ

Legal business name

HIGLEY PARK DENTAL CARE

Practice address

1355 S Higley Rd
Ste 110
Gilbert, AZ 85296-4799

Phone

(480) 279-0079

NPI assigned

Jan 12, 2011

Last updated

May 17, 2018By 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

Lonnie Eckman, DMD

Title

Owner/Doctor

Phone

(480) 279-0079

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1294790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526515200000",
    "number": "1942505565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 S HIGLEY RD",
            "address_2": "STE 110",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852964799",
            "telephone_number": "480-279-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 S HIGLEY RD",
            "address_2": "STE 110",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852964799",
            "telephone_number": "480-279-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGLEY PARK DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-12",
        "last_updated": "2018-05-17",
        "status": "A",
        "authorized_official_last_name": "ECKMAN",
        "authorized_official_first_name": "LONNIE",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "480-279-0079",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D7856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Higgins, PT
• Lisa Marie Higginson, LPC
• Alyssa High, RBT
• Highbury Dental Management, LLC (Island Pediatric Dentistry)
• Higley Family Medicine, LLC
• Higley Park Integrated Health Group LLC
• Higley Unfied School District
• Higley Unified School District
• Higley Unified School District
• Higley Unified School District # 60

• General Practice Dentistry in Gilbert, AZ
• Providers in Gilbert, 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 May 17, 2018; 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.