Active NPI
Jeremy Garrett, DMD
- Dentist
- Buckeye, AZ
National Provider Identifier
1962564641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6959
- Practice address
- 20800 W Market St Ste 103
Buckeye, AZ 85396-8040 - Phone
- (602) 858-9956
- NPI assigned
- Dec 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6959 | AZ | Primary |
| Dentist | 122300000X | D6959 | AZ |
Addresses
Primary practice location
20800 W Market St Ste 103
Buckeye, AZ 85396-8040
Mailing address
20800 W Market St Ste 103
Buckeye, AZ 85396-8040
Phone (602) 858-9956
Other practice location 1
10750 W McDowell Rd Ste F610
Avondale, AZ 85392-5976
Phone (480) 581-9591
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D6959 | AZ | MD | Dentist |
| 6959 | AZ | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722470400000",
"number": "1962564641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20800 W MARKET ST STE 103",
"city": "BUCKEYE",
"state": "AZ",
"postal_code": "853968040",
"telephone_number": "602-858-9956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20800 W MARKET ST STE 103",
"city": "BUCKEYE",
"state": "AZ",
"postal_code": "853968040",
"telephone_number": "602-858-9956"
}
],
"practiceLocations": [
{
"address_1": "10750 W McDowell Rd Ste F610",
"address_purpose": "LOCATION",
"city": "Avondale",
"state": "AZ",
"postal_code": "853925976",
"country_code": "US",
"telephone_number": "480-581-9591",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARRETT",
"first_name": "JEREMY",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-15",
"last_updated": "2024-08-01",
"certification_date": "2024-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "6959",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "D6959",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buckeye, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.