Organization Active NPI

Family & Cosmetic Dental LLC

  • General Practice Dentistry
  • Phoenix, AZ
National Provider Identifier
1013217371
Registry record updated Nov 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4738 Issued in AZ
Legal business name
FAMILY & COSMETIC DENTAL LLC
Practice address
6535 W Camelback Rd
Suite 2
Phoenix, AZ 85033-1608
Phone
(623) 848-1881
Fax
(623) 846-0424
NPI assigned
Nov 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Adrian Pulkrabek
Title
Member/Dentist
Phone
(623) 848-1881

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 4738 AZ Primary

Addresses

Primary practice location

6535 W Camelback Rd
Suite 2
Phoenix, AZ 85033-1608

Mailing address

6535 W Camelback Rd
Suite 2
Phoenix, AZ 85033-1608
Phone (623) 848-1881

National Provider Directory

National Provider Directory

Locations

6535 W Camelback Rd
Ste 2
Phoenix, AZ 85033
Phone (623) 845-9009

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288656000000",
    "number": "1013217371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6535 W CAMELBACK RD",
            "address_2": "SUITE 2",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850331608",
            "telephone_number": "623-848-1881",
            "fax_number": "623-846-0424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6535 W CAMELBACK RD",
            "address_2": "SUITE 2",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850331608",
            "telephone_number": "623-848-1881",
            "fax_number": "623-846-0424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY & COSMETIC DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-02",
        "last_updated": "2010-11-02",
        "status": "A",
        "authorized_official_last_name": "PULKRABEK",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_title_or_position": "MEMBER/DENTIST",
        "authorized_official_telephone_number": "623-848-1881",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "4738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.