DR. JONATHAN L STAKER (NPI# 1760573315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760573315 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN L STAKER |
| Credential | D.D.S. |
| Practice Address |
2550 E Guadalupe Rd Suite #101 Gilbert AZ 85234-5114 |
| Practice Telephone | 4805580777 |
| Mailing Telephone | 4805580777 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
4659 | AZ | Dental Providers |
| Street Address |
2550 E GUADALUPE RD SUITE #101 |
| City | GILBERT |
| State | AZ |
| Zip Code | 85234-5114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336146745 | Pediatric Dental Specialists, Ppc | Dentist | 2550 E Guadalupe Rd, Suite 101, Gilbert, AZ 85234-5114 | 2005-06-30 |
| 1649710310 | Jamie P Coffey Dpm PC | Podiatrist | 2550 E Guadalupe Rd, Suite 106, Gilbert, AZ 85234-5114 | 2017-03-01 |
| 1447429824 | Stefanie Ann Laystrom | Physician Assistant | 2550 E Guadalupe Rd, Ste. 115, Gilbert, AZ 85234-5114 | 2008-02-29 |
| 1366633620 | Stephanie C Mayes | Obstetrics & Gynecology | 2550 E Guadalupe Rd, Suite 109, Gilbert, AZ 85234 | 2007-08-01 |
| 1841491453 | Donald Joseph Sanchez | Dentist | 2550 E Guadalupe Rd, Suite 101, Gilbert, AZ 85234-5114 | 2007-05-30 |
| 1801955455 | Farnsworth Orthopedic Physical Therapy, LLC | Physical Therapist | 2550 E Guadalupe Rd, Suite 111, Gilbert, AZ 85234-5114 | 2006-12-08 |
| 1497845903 | Thomas Cox Farnsworth | Physical Therapist | 2550 E Guadalupe Rd, Suite 111, Gilbert, AZ 85234-5114 | 2006-10-13 |
| 1528158037 | Travis Kent Rohner | Physical Therapist | 2550 E Guadalupe Rd, Suite 111, Gilbert, AZ 85234-5114 | 2006-10-13 |
| 1881784304 | Clinton Ray Bunker | Physical Therapist | 2550 E Guadalupe Rd, Suite 111, Gilbert, AZ 85234-5114 | 2006-10-13 |
| 1982795548 | Kimberly Sherrill | Dentist | 2550 E Guadalupe Rd, Suite #101, Gilbert, AZ 85234-5114 | 2006-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710500962 | Fatima Health LLC | Nurse Practitioner | 760 North Swallow Lane, Gilbert, AZ 85234 | 2020-05-22 |
| 1073152070 | American Care Concepts Hospice LLC | Hospice Care, Community Based | 765 N. Lindsay Rd., Ste. 208, Gilbert, AZ 85234 | 2019-12-23 |
| 1457918864 | Intuitive Healing Counseling Services, Pllc | Counselor | 3303 E Baseline Rd, Building 5, Suite 109, Gilbert, AZ 85234 | 2019-05-21 |
| 1487123907 | San Tan Behavioral Health Services LLC | Respite Care | 2671 East Vermont Court, Gilbert, AZ 85234 | 2018-11-14 |
| 1770052292 | San Tan Behavioral Health Services | Respite Care | 3970 East Juanita Avenue, Gilbert, AZ 85234 | 2018-11-14 |
| 1891262887 | Victoria Elizabeth Klennertt | Behavior Technician | 3503 E Michelle Way, Gilbert, AZ 85234 | 2018-10-27 |
| 1225503634 | Julia Elizabeth Wiens | Social Worker | 3651 E Baseline Rd Ste 120, Gilbert, AZ 85234 | 2018-10-11 |
| 1295219798 | Raylene Dawn Cargiulo | Registered Nurse | 55 S. Greenfield Rd., Gilbert, AZ 85234 | 2018-09-20 |
| 1346729092 | Katherine M Winegar | Nurse Practitioner | Banner Md Anderson Cancer Center- Administration Office, 2940 E Banner Gateway Drive, Gilbert, AZ 85234 | 2018-08-13 |
| 1881189199 | Desert Valley Oral Surgery | Oral & Maxillofacial Surgery | 2915 E. Baseline Road, Suite 106, Gilbert, AZ 85234 | 2018-06-28 |
| Find all providers in zip 85234 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497396170 | Gilbert Kidtastic Dental LLC | Dentist | 3303 E Queen Creek Rd Ste 106, Gilbert, AZ 85297-8532 | 2019-10-03 |
| 1386207785 | Cattron's Dmd, Pllc | Dentist | 4024 E Guadalupe Rd Ste 105, Gilbert, AZ 85234-7672 | 2019-04-21 |
| 1487158473 | Jared Benjamin Tinker | Dentist | 3592 S Atherton Blvd Ste 107, Gilbert, AZ 85297-7444 | 2018-03-22 |
| 1184167447 | John E. Culp, IIi Dmd, PC | Dentist | 2080 E Williams Field Rd, Suite #104, Gilbert, AZ 85295-0702 | 2016-11-18 |
| 1871950071 | Joseph Creech | Dentist | 2550 E Guadalupe Rd Ste 101, Gilbert, AZ 85234-5114 | 2016-01-20 |
| 1073895629 | Kidiatric Dentistry, Pllc | Dentist | 913 E Warner Rd, Gilbert, AZ 85296-3078 | 2011-09-09 |
| 1861663635 | Gavin Cotant Christensen | Dentist | 3303 E Queen Creek Rd, Suite 106, Gilbert, AZ 85297-8532 | 2008-03-19 |
| 1285753574 | Timothy J Bashara | Dentist | 5656 S. Power Rd., Ste. 118, Gilbert, AZ 85295 | 2007-03-28 |
| 1780749333 | Abc Dentistry for Children | Dentist | 2363 E Baseline Rd, Gilbert, AZ 85234-2357 | 2006-12-26 |
| 1053488650 | Jared Weston Welch | Dentist | 3011 S Lindsay Rd Ste 108, Gilbert, AZ 85296-0702 | 2006-11-29 |
| Find all providers in GILBERT | ||||
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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.