DHEW IND HLTH SV HLTH SVS & MNTL HLTH ADM


Address: 2121 West Reservation Loop Road, Camp Verde, AZ 86322-8412
Phone: 6022631200

DHEW IND HLTH SV HLTH SVS & MNTL HLTH ADM (NPI# 1578618831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578618831
Entity Type Organization
Organization Name DHEW IND HLTH SV HLTH SVS & MNTL HLTH ADM
Other Organization Name YAHC DENTAL SERVICES
Practice Address 2121 West Reservation Loop Road
Camp Verde
AZ 86322-8412
Mailing Address Po Box 31001-0698
Pasadena
CA 91110-0698
Practice Telephone 6022631200
Practice Fax Number 6022631618
Mailing Telephone 6022631200
Mailing Fax Number 6022631618
Enumeration Date 2007-01-24
Last Update Date 2019-06-18
Authorized Official Name MISS DEANNA J. DICK ((CEO) CHIEF EXECUTIVE OFFICER)
Authorized Official Telephone 6022631567
Authorized Official Credential MSW., MHA.
Is Organization Subpart Y
Parent Organization Name DHEW IND HLTH SV HLTH SVS & MNTL HLTH ADM

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 122300000X Dentist Dental Providers
Y 1223G0001X Dentist
Specialization: General Practice
Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
AZ 812869 05

Other Provider/Organization Names

Other Name Type Code
YAHC Dental Services Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1962949008 Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm Public Health or Welfare 1216 N. 307th Avenue, San Lucy Clinic, Gila Bend, AZ 85337 2017-01-27
1932360054 Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm Dentist 6822 E 1000 South, Fort Duchesne, UT 84026 2008-06-20
1205859618 Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm Public Health or Welfare 2121 West Reservation Loop Road, Camp Verde, AZ 86322 2006-07-26
1619377942 Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm Clinic/Center 9010 Magnolia Ave, Riverside, CA 92503-4431 2014-08-22
1003083551 Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm Clinic/Center 4212 North 16th Street, Phoenix Indian Medical Center Ambulatory Surgical Cent, Phoenix, AZ 85016-5319 2008-05-14
1831245661 Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm Psychologist 100 North Gila Boulevard, Gila Bend, AZ 85227-2658 2007-01-26
1831244169 Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm Psychologist 2121 West Reservation Loop Road, Camp Verde, AZ 86322 2007-01-25
1679628531 Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm Family Medicine 10005 E Osborn Rd, Scottsdale, AZ 85256-4019 2007-01-23
1730255639 Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm Durable Medical Equipment & Medical Supplies 10005 E Osborn Rd, Scottsdale, AZ 85256-4019 2006-11-24
1932274214 Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm Dentist 10005 E Osborn Rd, Scottsdale, AZ 85256-4019 2006-11-21

Office Location

Street Address 2121 WEST RESERVATION LOOP ROAD
City CAMP VERDE
State AZ
Zip Code 86322-8412

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205859618 Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm Public Health or Welfare 2121 West Reservation Loop Road, Camp Verde, AZ 86322 2006-07-26
1376840926 Karen Rae Fierro Registered Nurse 2121 West Reservation Loop Road, Camp Verde, AZ 86322-8412 2011-02-17
1407172182 Christine Rene Sossa Registered Nurse 2121 West Reservation Loop Road, Camp Verde, AZ 86322-8412 2010-04-20
1134265275 Randy Reasch Dentist 2121 West Reservation Loop Road, Camp Verde, AZ 86322-8412 2007-01-29
1831244169 Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm Psychologist 2121 West Reservation Loop Road, Camp Verde, AZ 86322 2007-01-25
1821145327 Lynne M. Dapsis Registered Nurse 2121 West Reservation Loop Road, Camp Verde, AZ 86322 2007-01-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386244234 Aileen Green Specialist/Technologist Camp Verde Elementary, 200 Camp Lincoln Rd, Camp Verde, AZ 86322 2020-10-29
1295358083 Michelle Thu Nguyen Dentist 1996 Doug's Park Rd., Camp Verde, AZ 86322 2020-05-27
1982140372 Kelly Michaud Ayotte Nurse Practitioner 885 S. Peach Lane, Camp Verde, AZ 86322 2017-01-10
1508225301 Jennifer Lynn Wolf Specialist/Technologist 253 E Stolen Blvd, Camp Verde, AZ 86322 2016-02-22
1700288792 Ramiro Lambaria IIi Dentist 1996 Doug's Park Rd, Camp Verde, AZ 86322 2014-09-22
1457768459 Tammy Sue Oothoudt Psychiatric Residential Treatment Facility 1140 South Little Fox Trail, Camp Verde, AZ 86322 2014-07-22
1669798146 Camp Verde Family Chiropractic & Wellness Center Inc. Chiropractor 564 Main Street Suite #108, Camp Verde, AZ 86322 2010-04-09
1841522869 Kyle Earl French Chiropractor 564 S Main Street, Suite 108, Camp Verde, AZ 86322 2010-02-01
1386871440 Kadeen Mansor Physical Therapist 6345 S Cedar Springs St, Camp Verde, AZ 86322 2009-06-16
1811146574 Karin M. Hauenstein Social Worker 449 Sixth Street, Camp Verde, AZ 86322 2008-09-17
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447814199 Copper Canyon Family Dental Dentist 26 W Salt Mine Rd, Camp Verde, AZ 86322-7170 2019-04-29
1124169669 Ronald Glen Wright Dentist 26a Salt Mine Road, Camp Verde, AZ 86322-0950 2007-02-09
1588684450 Gordon K Wilson Dentist 522 Finnie Flat Rd, Ste J, Camp Verde, AZ 86322 2006-07-20
1710903299 Eric Pettersen Dentist 522 W Finnie Flats Rd, Ste J, Camp Verde, AZ 86322-7265 2006-07-15
1992037857 Verde Dental Care, LLC Dentist 522 W Finnie Flats Rd, Ste J, Camp Verde, AZ 86322-7265 2010-02-03
1134265275 Randy Reasch Dentist 2121 West Reservation Loop Road, Camp Verde, AZ 86322-8412 2007-01-29

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1699376616 Arizona Dental Professionals, P.C. Dentist 37591 N Gantzel Rd, San Tan Valley, AZ 85140-7376 2020-11-05
1851992879 Arizona Dental Professionals, P.C. Dentist 1177 S Watson Rd Ste 107, Buckeye, AZ 85326-3465 2020-11-05
1609475060 Happy Molar Dental LLC Dentist 67 N Dobson Rd Ste A-104, Mesa, AZ 85201-6822 2020-10-18
1679171151 Diana Kim Dentist 15128 W Bell Rd Ste 12, Surprise, AZ 85374-2451 2020-10-15
1366040057 Hdp Casa Grande Dental LLC Dentist 1968 N Peart Rd Ste 22, Casa Grande, AZ 85122-2497 2020-10-14
1871191197 Dentalpros, LLC Dentist 225 E Valencia Rd Ste 135, Tucson, AZ 85706-6866 2020-10-09
1457958928 Eesha Katarya Dentist 1060 S Harrison Rd Ste 110, Tucson, AZ 85748-6603 2020-10-07
1063019669 Sona Dds PC Dentist 10450 E. Riggs Rd. #118, Chandler, AZ 85248 2020-10-06
1598362105 Sona Dds PC Dentist 995 E Ocotillo Rd Ste 3, Chandler, AZ 85249-3111 2020-10-06
1205441136 Maryvale Dental Studio Dentist 7614 W Indian School Rd # 2, Phoenix, AZ 85033-3035 2020-09-08
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Competitor

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City CAMP VERDE
Zip Code 86322

Improve Information

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Dataset Information

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.

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