JACK CHARLES FARRELL (NPI# 1134134562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134134562 |
| Entity Type | Individual |
| Full Name | JACK CHARLES FARRELL |
| Credential | DDS |
| Practice Address |
1820 W Thunderbird Rd Phoenix AZ 85023 |
| Mailing Address |
1809 E Cashman Rd Phoenix AZ 85024 |
| Practice Telephone | 6029936080 |
| Practice Fax Number | 6029936061 |
| Mailing Telephone | 6233288064 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
AZ | Dental Providers |
| Street Address |
1820 W THUNDERBIRD RD |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710912019 | Jack Luftman | Dentist | 1820 W Thunderbird Rd, Suite 1, Phoenix, AZ 85023 | 2006-07-12 |
| 1518302496 | Smile Today Thunderbird Plc | Dentist | 1820 W Thunderbird Rd, Suite 1, Phoenix, AZ 85023-6300 | 2013-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891265468 | Dildora Turakulova | Home Health | 2238 West Faria Ln, Phoenix, AZ 85023 | 2018-11-27 |
| 1043700032 | Bell Treatment Center | Clinic/Center | 1614 W Bell Rd, Phoenix, AZ 85023 | 2018-05-15 |
| 1518475755 | Ami Marie Podlesnik | Occupational Therapy Assistant | 14814 N 24th Dr Unit 2, Phoenix, AZ 85023 | 2018-01-22 |
| 1821515222 | In Touch Health & Wellness LLC | Chiropractor | 2306 W Greenway Rd, Phoenix, AZ 85023 | 2017-08-25 |
| 1184974115 | Craig R Kurtz | Physical Therapy Assistant | 722 W. Beck Lane, Phoenix, AZ 85023 | 2012-09-18 |
| 1578836078 | In Touch Chiropractic | Chiropractor | 2302 W. Greenway Rd., Phoenix, AZ 85023 | 2012-02-14 |
| 1336410448 | Daniel Jerome Shumway | Massage Therapist | 3033 W. Bell Rd Ste 101-a, Phoenix, AZ 85023 | 2012-01-20 |
| 1659640266 | Valley of The Sun Assisted Living Homes LLC | Custodial Care Facility | 18039 N. 19th Ln., Phoenix, AZ 85023 | 2011-12-28 |
| 1518110709 | Edward L Schwartz | Internal Medicine | 14259 North Coral Gables Drive, Phoenix, AZ 85023 | 2008-10-31 |
| 1477711299 | Kratu Inc | Early Intervention Provider Agency | 16036 N 11th Ave, Unit 1025, Phoenix, AZ 85023 | 2008-05-29 |
| Find all providers in zip 85023 | ||||
| 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.