Organization Active NPI

High Desert Dentistry, P.C.

  • Dental Clinic/Center
  • Sierra Vista, AZ
National Provider Identifier
1972168102
Registry record updated May 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
HIGH DESERT DENTISTRY, P.C.
Practice address
5100 E Highway 90 Ste a
Sierra Vista, AZ 85635-2444
Phone
(520) 458-4334
NPI assigned
May 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2019

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

Authorized official

Name
Ronald VetoNPI 1730174533
Title
President
Phone
(520) 458-4334

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

5100 E Highway 90 Ste a
Sierra Vista, AZ 85635-2444

Mailing address

5100 E Highway 90 Ste a
Sierra Vista, AZ 85635-2444

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL info@sierravistadentist.com Other

National Provider Directory

National Provider Directory

Locations

5100 E Highway 90
Ste A
Sierra Vista, AZ 85635
Phone (520) 458-4334

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1556755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556755200000",
    "number": "1972168102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 E HIGHWAY 90 STE A",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 E HIGHWAY 90 STE A",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352444",
            "telephone_number": "520-458-4334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH DESERT DENTISTRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-02",
        "last_updated": "2019-05-02",
        "status": "A",
        "authorized_official_last_name": "VETO",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-458-4334"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@sierravistadentist.com",
            "affiliation": "N",
            "endpointDescription": "office info",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "info@sierravistadentist.com",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5100 E Highway 90 Ste A",
            "city": "Sierra Vista",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "856352444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sierra Vista, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; 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.