YUMA DENTAL LLC (NPI# 1043652910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043652910 |
| Entity Type | Organization |
| Organization Name | YUMA DENTAL LLC |
| Practice Address |
2540 S 4th Ave Yuma AZ 85364-7286 |
| Practice Telephone | 9283445700 |
| Mailing Telephone | 9283445700 |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2013-07-22 |
| Authorized Official Name | DR. JUSTIN CHURCH (OWNER) |
| Authorized Official Telephone | 4802060139 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | 7892 | AZ | Managed Care Organizations |
| Street Address |
2540 S 4TH AVE |
| City | YUMA |
| State | AZ |
| Zip Code | 85364-7286 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407058159 | Larry Arthur Bicknell | Dentist | 2540 S 4th Ave, Yuma, AZ 85364-7286 | 2007-06-04 |
| 1174824619 | Justin Church Dmd Plc | Clinic/Center | 2540 S 4th Ave, Yuma, AZ 85364-7286 | 2010-11-16 |
| 1184857419 | Justin Church | Dentist | 2540 S 4th Ave, Yuma, AZ 85364-7286 | 2009-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093315939 | Smile Straight Orthodontics-yuma Pllc | Dentist | 2283 W 24th Street, Suite 120, Yuma, AZ 85364 | 2020-10-29 |
| 1013515204 | Jason John Lujan | Behavior Technician | 8361, S Apache Lane, Yuma, AZ 85364 | 2020-10-12 |
| 1417573742 | Shanti Auto Injury and Accident, Pllc | Clinic/Center | 1695 W 24h St, Suite C, Yuma, AZ 85364 | 2020-06-23 |
| 1144846999 | Surur Nader Sharif | Student in an Organized Health Care Education/Training Program | Yuma Regional Medical Center 2400 Avenue A, Yuma, AZ 85364 | 2020-06-17 |
| 1710533211 | Erika White | Specialist/Technologist | 3150 S Ave A, Yuma, AZ 85364 | 2019-08-12 |
| 1851950281 | Yuma Advanced Surgical Suites LLC | Clinic/Center | 1030 W 24th Street Suite H, Yuma, AZ 85364 | 2019-06-10 |
| 1558846139 | West Genevieve Home Care | Home Health | 1545 S 14th Ave, Com1, Yuma, AZ 85364 | 2018-09-28 |
| 1801375597 | Rebecca L Conover | Occupational Therapy Assistant | Yuma Elementary School District One, 450 S. 6th Street, Yuma, AZ 85364 | 2018-08-13 |
| 1861984791 | Thomas Francisco Burrell | Pharmacist | 1150 W 8th Street, Yuma, AZ 85364 | 2018-06-06 |
| 1356833834 | Elizabeth Schlenner | Nurse Practitioner | 2637 S 34th Ave, Yuma, AZ 85364 | 2018-05-31 |
| Find all providers in zip 85364 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245647387 | Blue Skies Home Managment Services | Preferred Provider Organization | 7581 E 26th St, Yuma, AZ 85365-8615 | 2014-07-21 |
| 1457542367 | Montero Chiropractic Inc | Preferred Provider Organization | 1881 S 4th Ave Ste B, Yuma, AZ 85364-5668 | 2007-08-06 |
| 1396058954 | Wissam Fayad Md PC | Preferred Provider Organization | 1841 W 25th St, Suite A, Yuma, AZ 85364-6920 | 2010-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033647128 | Good Samaritan Physicians Association, Inc. | Preferred Provider Organization | 3030 N Central Ave Ste 1405, Phoenix, AZ 85012-2720 | 2017-06-01 |
| 1821447863 | Air Ambulance 911 | Preferred Provider Organization | 2390 E Camelback Rd Ste 130, Phoenix, AZ 85016-3449 | 2016-06-09 |
| 1932507951 | Dignity Healthcare | Preferred Provider Organization | 4516 W Magdalena Ln, Laveen, AZ 85339-2350 | 2014-12-08 |
| 1437565389 | The Eagle-watch Behavioral Health Services LLC | Preferred Provider Organization | 4145 E Megan St, Gilbert, AZ 85295-7736 | 2014-07-10 |
| 1205258415 | Maggie Lam Pllc | Preferred Provider Organization | 1761 E Warner Rd # A-14, Tempe, AZ 85284-4558 | 2014-01-08 |
| 1730510785 | Otilia Muresan | Preferred Provider Organization | 22365 N 69th Ave, Glendale, AZ 85310 | 2013-12-02 |
| 1952741530 | Hms Dental Pllc | Preferred Provider Organization | 22717 S Ellsworth Rd Ste B102, Queen Creek, AZ 85142-7575 | 2013-06-27 |
| 1629319322 | Aa Physiotherapy Inc | Preferred Provider Organization | 11333 N. 92 St, 1029, Scottsdale, AZ 85260 | 2013-03-06 |
| 1982953840 | Health Choice Preferred Arizona Aco LLC | Preferred Provider Organization | 410 N. 44th Street, Suite 900, Phoenix, AZ 85008-6522 | 2012-09-06 |
| 1184971822 | Daniel Garcia | Preferred Provider Organization | 12410 N Golden Mirror Dr, Marana, AZ 85658-4745 | 2012-08-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.