Design Dental Group LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DESIGN DENTAL GROUP LLC

Practice address

9784 W Yearling Rd Ste B-1500
Peoria, AZ 85383-1379

Phone

(623) 561-1470

Fax

(623) 561-1169

NPI assigned

Mar 18, 2024

Organization subpart

No

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

Authorized official

Name

Joshua Repta

Title

Office Manager

Phone

(623) 561-1470

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Ivan D. Tovar, D.D.S.

  • General Practice Dentistry
  • Peoria, AZ
  • NPI 1588751986
  NPD (past)

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

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1992564504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9784 W YEARLING RD STE B-1500",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853831379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9784 W YEARLING RD STE B-1500",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853831379",
            "telephone_number": "623-561-1470",
            "fax_number": "623-561-1169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESIGN DENTAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-16",
        "status": "A",
        "authorized_official_last_name": "REPTA",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "623-561-1470"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desert View Counseling and Consulting, Inc.
• Desert View Counseling and Consulting, Inc.
• Desert West Obstetrics & Gynecology LTD
• Desert Winds Assisted Living
• Desertcrown Way LLC
• Designer Dental Services PLLC
• Hedson Ricardo Desir, MD
• Marissa Lynn Desjardins, PT, DPT
• Developmental OT Services
• Rachael Devita

• General Practice Dentistry in Peoria, AZ
• Providers in Peoria, 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 Mar 18, 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.

Verify at the official NPI Registry.