Organization Active NPI

John Patterson DMD PLC

  • Customized Equipment (DME)
  • Chandler, AZ
National Provider Identifier
1972969194
Registry record updated Mar 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
JOHN PATTERSON DMD PLC
Practice address
3245 W Ray Rd
#6
Chandler, AZ 85226-2438
Phone
(480) 280-6170
NPI assigned
Jan 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2017

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

Authorized official

Name
John Patterson
Title
Owner
Phone
(480) 280-6170

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

3245 W Ray Rd
#6
Chandler, AZ 85226-2438

Mailing address

3245 W Ray Rd
#6
Chandler, AZ 85226-2438
Phone (480) 280-6170

National Provider Directory

National Provider Directory

Locations

3245 W Ray Rd
Ste 6
Chandler, AZ 85226
Phone (480) 280-6170

NPI Registry JSON

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

{
    "created_epoch": "1451865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490140800000",
    "number": "1972969194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3245 W RAY RD",
            "address_2": "#6",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852262438",
            "telephone_number": "480-280-6170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3245 W RAY RD",
            "address_2": "#6",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852262438",
            "telephone_number": "480-280-6170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN PATTERSON DMD PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-04",
        "last_updated": "2017-03-22",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-280-6170"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; 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.