DR. JODI HEACOCK (NPI# 1821051533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821051533 |
| Entity Type | Individual |
| Full Name | DR. JODI HEACOCK |
| Credential | DDS |
| Practice Address |
7006 S Central Ave Phoenix AZ 85042-5423 |
| Practice Telephone | 6022761029 |
| Practice Fax Number | 6022761838 |
| Mailing Telephone | 6022761029 |
| Mailing Fax Number | 6022761838 |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2013-12-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D5405 | AZ | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | AHCCCS | 578106 | 01 |
| Street Address |
7006 S CENTRAL AVE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85042-5423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477093425 | Harold Lincoln Robinson IIi | Dentist | 7006 S Central Ave, Phoenix, AZ 85042-5423 | 2017-02-23 |
| 1255530952 | Lisa E Chinn | Dentist | 7006 S Central Ave, Phoenix, AZ 85042-5423 | 2007-07-12 |
| 1316162738 | Care for Kids of Arizona, LLC | Dentist | 7006 S Central Ave, Phoenix, AZ 85042 | 2007-04-13 |
| 1407997513 | Care for Kids of Arizona, LLC | Dentist | 7006 S Central Ave, Phoenix, AZ 85042-5423 | 2007-02-09 |
| 1700958352 | Stephen Callan | Dentist | 7006 S Central Ave, Phoenix, AZ 85042-5423 | 2006-11-15 |
| 1376616870 | Angela Dotson | Dentist | 7006 S Central Ave, Phoenix, AZ 85042-5423 | 2006-11-15 |
| 1669496824 | Matthew H Maneely | Dentist | 7006 S Central Ave, Phoenix, AZ 85042-5423 | 2006-07-27 |
| 1427085257 | Jeffery Walters | Dentist | 7006 S Central Ave, Phoenix, AZ 85042-5423 | 2006-06-27 |
| 1184675480 | Paul Brenchley | Dentist | 7006 S Central Ave, Phoenix, AZ 85042-5423 | 2006-05-12 |
| 1578527818 | Joseph Nielsen | Dentist | 7006 S Central Ave, Phoenix, AZ 85042-5423 | 2006-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306443197 | Da Homes LLC | Case Management | 8026 S. 24th Way, Phoenix, AZ 85042 | 2020-10-05 |
| 1144790460 | Ebony House Inc | Substance Abuse Rehabilitation Facility | 6222 S. 13th Street, Phoenix, AZ 85042 | 2018-11-29 |
| 1427538362 | Abigail Mcgrath | Dietitian, Registered | 303 E Baseline Rd Ste 200, Phoenix, AZ 85042 | 2018-08-20 |
| 1174028310 | Olufemi A Omodara | Pharmacist | 7227 S. Central Ave, #1080, Phoenix, AZ 85042 | 2018-03-29 |
| 1720537699 | Mary Youngblood | Registered Nurse | 7210 S 27th Way, Phoenix, AZ 85042 | 2016-10-03 |
| 1922490382 | Brian Zembower | Optometrist | 610 E Baseline Rd Ste C3, Phoenix, AZ 85042 | 2015-02-23 |
| 1417299819 | Robert Murphy Portley | Psychiatry & Neurology | 2320 E Baseline Rd Ste 148-225, Phoenix, AZ 85042 | 2013-03-23 |
| 1972807998 | Obinna Chukwuka Akubukwe | Pharmacist | 6006 S. Central Avenue, Phoenix, AZ 85042 | 2011-01-05 |
| 1104120328 | Gisheys Patient Care LLC | Custodial Care Facility | 7232 South 12th Place, Phoeniz, AZ 85042 | 2011-01-03 |
| 1245463488 | Lois Ann Hammitt | Registered Nurse | 6218 S. 7th Street, Phoenix, AZ 85042 | 2009-09-03 |
| Find all providers in zip 85042 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205441136 | Maryvale Dental Studio | Dentist | 7614 W Indian School Rd # 2, Phoenix, AZ 85033-3035 | 2020-09-08 |
| 1912516535 | Ford Calaway Dentistry & Orthodontics LLC | Dentist | 2111 E Highland Ave Ste B, Phoenix, AZ 85016-4741 | 2020-07-29 |
| 1568085637 | Family Dental Phoenix | Dentist | 2401 W Glendale Ave Ste 102, Phoenix, AZ 85021-7621 | 2020-05-24 |
| 1699308866 | Signature Dental Partners LLC | Dentist | 410 N 44th St Ste 290, Phoenix, AZ 85008-7622 | 2020-02-17 |
| 1164062618 | Smile Dentistry Pllc | Dentist | 1238 E. Chandler Blvd. #101, Phoenix, AZ 85048 | 2020-01-13 |
| 1942849146 | Risas O.s. Dental Partners Az LLC | Dentist | 7442 W. Thomas Rd., Phoenix, AZ 85033 | 2020-01-06 |
| 1831748532 | Benjamin Paul Chalom Baranes | Dentist | 5225 N 19th Ave Ste C, Phoenix, AZ 85015-2903 | 2019-09-05 |
| 1346800760 | Sonoran Sky Family Dentistry | Dentist | 9515 West Camelback Road, Suite #120, Phoenix, AZ 85037 | 2019-06-18 |
| 1376101188 | Bethany Helen Armendariz | Dentist | 4757 E Greenway Rd # Set108, Phoenix, AZ 85032-8513 | 2019-06-05 |
| 1851958300 | Smile Dental Studio | Dentist | 10209 N 35th Ave Ste 129, Phoenix, AZ 85051-9619 | 2019-05-21 |
| Find all providers in PHOENIX | ||||
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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.