DR. RICHARD C. JIRSA (NPI# 1093775488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093775488 |
| Entity Type | Individual |
| Full Name | DR. RICHARD C. JIRSA |
| Credential | DDS |
| Practice Address |
1229 Willow Creek Rd Prescott AZ 86301-1427 |
| Practice Telephone | 9287782340 |
| Practice Fax Number | 9287783646 |
| Mailing Telephone | 9287782340 |
| Mailing Fax Number | 9287783646 |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2009-02-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
3843 | AZ | Dental Providers |
| Street Address |
1229 WILLOW CREEK RD |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86301-1427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891244281 | Prescott Periodontics & Implant Dentistry, Pllc | Dentist | 1229 Willow Creek Rd, Prescott, AZ 86301-1427 | 2016-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102350 | Dove Marie Gundermann | Specialist/Technologist | 300 W. Gurley St, Prescott, AZ 86301 | 2020-07-30 |
| 1639712110 | Arizona Orthopedic Physical Therapy, Pllc | Clinic/Center | 1781 E State Highway 69, Suite 28, Prescott, AZ 86301 | 2019-10-28 |
| 1538714092 | Prescott Complete Care | Family Medicine | 1947 Commerce Center Circle, Suite A, Prescott, AZ 86301 | 2019-08-01 |
| 1336612571 | Sarah Elizabeth Elliott | Registered Nurse | 500 Az 89, Prescott, AZ 86301 | 2019-01-10 |
| 1912484270 | Asya Ruth Perkins | Counselor | 225 Grove Avenue, Prescott, AZ 86301 | 2018-07-19 |
| 1396241394 | Jerome Alexander Longoria | Chiropractor | 142 N. Rush St, Prescott, AZ 86301 | 2018-03-30 |
| 1619487675 | Yavapai Healthcare Group LLC | Nurse Practitioner | 999 Division Street, Prescott, AZ 86301 | 2017-10-04 |
| 1053835843 | United States Veterans Initiative | Counselor | 917 E Gurley St, Prescott, AZ 86301 | 2017-08-02 |
| 1164896999 | Spitler - Lilley, LLC | Hearing Instrument Specialist | 1781 E. State Rte 69, Suite 65, Prescott, AZ 86301 | 2015-11-17 |
| 1275925265 | Oral and Facial Surgery Center of Prescott | Dentist | 5415 Distiction Way, Prescott, AZ 86301 | 2015-02-27 |
| Find all providers in zip 86301 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134449481 | Todd W Walker | Dentist | 3124 Stillwater Dr, Prescott, AZ 86305-7151 | 2010-06-09 |
| 1306063250 | Michael B Lee | Dentist | 1000 Willow Creek Rd Ste H, Prescott, AZ 86301-1645 | 2007-04-20 |
| 1245223957 | Clay C Maupin | Dentist | 931 Fair St, Prescott, AZ 86305-1805 | 2005-08-26 |
| 1891244281 | Prescott Periodontics & Implant Dentistry, Pllc | Dentist | 1229 Willow Creek Rd, Prescott, AZ 86301-1427 | 2016-09-26 |
| 1649312158 | Val L Kudryk | Dentist | 3103 Clearwater Dr, Suite A, Prescott, AZ 86305-7165 | 2007-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316582323 | Green Valley Dental Specialties | Dentist | 101 S La Canada Dr Ste 54, Green Valley, AZ 85614-2664 | 2019-11-13 |
| 1235697939 | Leslie I. Davis, Bds, Dds, PC | Dentist | 13802 W Camino Del Sol Ste 103, Sun City West, AZ 85375-4486 | 2019-03-12 |
| 1427522788 | Arizona Center for Oral Health Pllc | Dentist | 5900 N Granite Reef Rd Ste 103, Scottsdale, AZ 85250-6281 | 2019-01-18 |
| 1962973347 | Pete N Mellas Dmd Ms Pllc | Dentist | 4910 E Greenway Rd Ste 2, Scottsdale, AZ 85254-1653 | 2018-12-11 |
| 1376019075 | East Valley Implant & Periodontal Center | Dentist | 3048 E Baseline Rd Ste 112, Mesa, AZ 85204-7287 | 2018-10-19 |
| 1386095511 | Katie Martin | Dentist | 13065 W Mcdowell Rd Ste A101, Avondale, AZ 85392 | 2016-06-29 |
| 1457719114 | Mountain Park Dentistry L.L.C. | Dentist | 15215 S 48th St Ste 175, Phoenix, AZ 85044-9140 | 2016-02-09 |
| 1780069997 | J Brent Sanders Dds PC | Dentist | 7505 W Deer Valley Rd Ste 130, Peoria, AZ 85382-2107 | 2015-07-29 |
| 1679986301 | Leslie Darnell | Dentist | 7425 E Shea Blvd Ste 110, Scottsdale, AZ 85260-6411 | 2014-06-10 |
| 1235486507 | Clark Mackelprang | Dentist | 2330 N Rosemont Blvd Unit A, Tucson, AZ 85712-2159 | 2012-08-06 |
| 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.