DESERT VISTA ORTHODONTICS, LLC (NPI# 1255615118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255615118 |
| Entity Type | Organization |
| Organization Name | DESERT VISTA ORTHODONTICS, LLC |
| Practice Address |
2107 Paseo San Luis Sierra Vista AZ 85635 |
| Practice Telephone | 5207328631 |
| Practice Fax Number | 5204590113 |
| Mailing Telephone | 5207328631 |
| Mailing Fax Number | 5204590113 |
| Enumeration Date | 2011-10-10 |
| Last Update Date | 2011-10-10 |
| Authorized Official Name | DR. NEAL JONES (OWNER AND DR) |
| Authorized Official Telephone | 5207328631 |
| Authorized Official Credential | DDS, MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
D7633 | AZ | Dental Providers |
| Street Address |
2107 PASEO SAN LUIS |
| City | SIERRA VISTA |
| State | AZ |
| Zip Code | 85635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386899573 | Neal Lebaron Jones | Dentist | 2107 Paseo San Luis, Sierra Vista, AZ 85635-4563 | 2008-12-01 |
| 1669970117 | Breanne Dickenson | Dental Hygienist | 2107 Paseo San Luis, Sierra Vista, AZ 85635-4563 | 2018-01-30 |
| 1609139484 | Jonathan Douglas Evans | Dentist | 2107 Paseo San Luis, Sierra Vista, AZ 85635-4563 | 2012-06-18 |
| 1093019804 | Jamie Rae White | Dentist | 2107 Paseo San Luis, Sierra Vista, AZ 85635-4563 | 2011-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134740640 | Taylor Anne Phelps | Student in an Organized Health Care Education/Training Program | Haven of Sierra Vista LLC, 660 Coronado Drive, Sierra Vista, AZ 85635 | 2020-05-06 |
| 1568001543 | Gp Medicine, Pllc | Family Medicine | 1800 E Wilcox Drive, Sierra Vista, AZ 85635 | 2019-12-23 |
| 1518515212 | Canyon Vista Dental | Dentist | 1993 S Frontage Road, Suite 208, Sierra Vista, AZ 85635 | 2019-08-27 |
| 1225697402 | Kristine Vincent Cruz Angeles | Dentist | 115 Calle Poral, Sierra Vista, AZ 85635 | 2019-06-11 |
| 1700397411 | Vivian Ryu | Social Worker | 2300 E Fry Blvd, #3822, Sierra Vista, AZ 85635 | 2017-10-20 |
| 1750806758 | Rosemary Nduta Kagwanja | Technician | 425 Bernini Avenue, N/a, Sierra Vista, AZ 85635 | 2017-08-10 |
| 1093245789 | Akdhc, LLC | Internal Medicine | 5555 Mesa Verde Dr, Suite 100, Sierra Vista, AZ 85635 | 2017-06-14 |
| 1609304633 | Vincent Guarino | Emergency Medicine | 5700 E, Az-90, Sierra Vista, AZ 85635 | 2017-06-04 |
| 1629506811 | Andrew Tang | Student in an Organized Health Care Education/Training Program | 5700 Arizona 90, Sierra Vista, AZ 85635 | 2017-06-01 |
| 1194259382 | Walik Hargett | Contractor | 800 N. Lenzner Ave Apt 776b, Sierra Vista, AZ 85635 | 2017-04-14 |
| Find all providers in zip 85635 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386899573 | Neal Lebaron Jones | Dentist | 2107 Paseo San Luis, Sierra Vista, AZ 85635-4563 | 2008-12-01 |
| 1821172131 | Alan P Kawakami | Dentist | 2700 E Fry Blvd, Suite B-9, Sierra Vista, AZ 85635-2826 | 2006-10-24 |
| 1093019804 | Jamie Rae White | Dentist | 2107 Paseo San Luis, Sierra Vista, AZ 85635-4563 | 2011-01-08 |
| 1467699496 | Elliot Eli Angel | Dentist | 1819 Paseo San Luis, Sierra Vista, AZ 85635-4613 | 2009-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093315939 | Smile Straight Orthodontics-yuma Pllc | Dentist | 2283 W 24th Street, Suite 120, Yuma, AZ 85364 | 2020-10-29 |
| 1467061119 | Grinz Nw Plc | Dentist | 7488 N La Cholla Blvd, Tucson, AZ 85741-2306 | 2020-07-29 |
| 1003447731 | Michael Mclaughlin Dds PC | Dentist | 940 N Switzer Canyon Dr Ste 201, Flagstaff, AZ 86001-4852 | 2020-01-31 |
| 1669003422 | Suchita Mandair | Dentist | 8381 E Overlook Dr, Scottsdale, AZ 85255-6483 | 2020-01-30 |
| 1104475300 | Cordon Orthodontic Center Pllc | Dentist | 30012 N Cave Creek Rd Ste 102, Cave Creek, AZ 85331-5833 | 2019-09-10 |
| 1033776455 | Premier Orthodontic Specialists Pllc | Dentist | 3230 S. Gilbert Rd. Ste. 1, Chandler, AZ 85286 | 2019-05-21 |
| 1720641228 | D'avanzo Arizona, Pllc | Dentist | 7001 N Scottsdale Rd, Scottsdale, AZ 85253-3658 | 2019-04-19 |
| 1558924415 | Ahwatukee Orthodontic Associates Inc | Dentist | 16611 S. 40th Street, Suite 110, Phoenix, AZ 85048 | 2019-04-17 |
| 1871066498 | Elite On Bell | Dentist | 15331 W Bell Rd Ste 210, Surprise, AZ 85374-4104 | 2019-01-07 |
| 1134691629 | Hunter Orthodontics Pllc | Dentist | 6525 W Sack Dr Ste 101, Glendale, AZ 85308-7106 | 2018-12-20 |
| Find all providers with the same taxonomy | ||||
| City | SIERRA VISTA |
| Zip Code | 85635 |
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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.