LDJ ENDODONTICS, LTD (NPI# 1508868209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508868209 |
| Entity Type | Organization |
| Organization Name | LDJ ENDODONTICS, LTD |
| Practice Address |
8632 W Clara Ln Peoria AZ 85382-1429 |
| Practice Telephone | 6238786996 |
| Mailing Telephone | 6238786996 |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2012-04-15 |
| Authorized Official Name | DR. LAURENCE DOUGLAS JOHNS (PRESIDENT) |
| Authorized Official Telephone | 6238786996 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
2335 | AZ | Dental Providers |
| Street Address |
8632 W CLARA LN |
| City | PEORIA |
| State | AZ |
| Zip Code | 85382-1429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740515691 | Sunset Endodontics, Ltd. | Dentist | 8632 W Clara Ln, Peoria, AZ 85382-1429 | 2009-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205435146 | Arizona Ot Solutions LLC | Occupational Therapist | 7450 W. Karen Lee Lane, Peoria, AZ 85382 | 2020-10-21 |
| 1497380604 | Idream Psychiatry | Psychiatry & Neurology | 8194 West Deer Valley Rd, 106-516, Peoria, AZ 85382 | 2020-03-08 |
| 1770137648 | Stefan Cseh | Occupational Therapy Assistant | 8765 W Keiton Lane #116, Peona, AZ 85382 | 2019-07-30 |
| 1174177422 | Assyrian Cultural Foundation of Arizona | Homemaker | 9163 West Union Hills Drive, Suite 114 and 115, Peoria, AZ 85382 | 2019-07-25 |
| 1073072765 | Darby Shipman | Physical Therapist | 8685 W. Union Hills Drive, Peoria, AZ 85382 | 2019-03-13 |
| 1811483480 | Kimberly Ann Cochran | Nurse Practitioner | 8194 W Deer Valley Rd Ste 106-516, Peoria, AZ 85382 | 2018-07-07 |
| 1831693514 | Summa Health Care, PC | Family Medicine | 8877 W Union Hills Dr Ste 240, Peoria, AZ 85382 | 2018-03-19 |
| 1497258727 | Nkemdirim Obiora | Nurse Practitioner | 7853 West Lone Cactus Drive, Peoria, AZ 85382 | 2018-03-13 |
| 1851893721 | Alyssa Michelle Bauman | Registered Nurse | 20283 N Lake Pleasant Rd Ste 112, Peoria, AZ 85382 | 2018-03-06 |
| 1043767106 | Jason Mcaddley | Pharmacist | 9425 West Union Hills Drive, Peoria, AZ 85382 | 2016-09-07 |
| Find all providers in zip 85382 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083926992 | Nathan John Hinckley | Dentist | 8085 W Bell Rd Ste 103, Peoria, AZ 85382-3825 | 2010-07-08 |
| 1275606592 | John B. Dale, Dmd, Ms, P.C. | Dentist | 7314 N Willow Lake Ct, Suite A, Peoria, IL 61614-8277 | 2006-11-16 |
| 1760567291 | Scott William Pace | Dentist | 7972 W Thunderbird Rd Ste 103, Peoria, AZ 85381-4903 | 2006-10-25 |
| 1306889555 | James Jeffery Baldi | Dentist | 3813 N Sterling Ave, Peoria, IL 61615-4230 | 2006-06-14 |
| 1437124278 | Spencer W Crook | Dentist | 7972 W Thunderbird Rd, Suite #103, Peoria, AZ 85381-4903 | 2006-02-22 |
| 1962818633 | Cody Heslington | Dentist | 14155 N 83rd Ave, Suite 7-141, Peoria, AZ 85381-5639 | 2014-07-02 |
| 1700158227 | John B. Dale | Dentist | 7314 N Willow Lake Ct, Suite A, Peoria, IL 61614-8277 | 2012-01-30 |
| 1346579240 | Katherine A. Kuntz-jakuc | Dentist | 6901 N Knoxville Ave, Suite 100, Peoria, IL 61614 | 2009-12-24 |
| 1740515691 | Sunset Endodontics, Ltd. | Dentist | 8632 W Clara Ln, Peoria, AZ 85382-1429 | 2009-10-10 |
| 1629289491 | Northwest Endodontics | Dentist | 7972 W Thunderbird Rd, Suite 103, Peoria, AZ 85381-4903 | 2007-05-24 |
| Find all providers in PEORIA | ||||
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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.