Active NPI
Family & Cosmetic Dental LLC
- General Practice Dentistry
- Phoenix, AZ
National Provider Identifier
1013217371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4738
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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 DirectoryLocations
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.
-
- Dentist
- Phoenix, AZ
- NPI 1710106075
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
- Dalia Falu
- Jennifer Olufunmilayo Faluade, APRN, FNP-BC
- Fam143 Care Inc Dba Amada Senior Care North Phoenix Az
- Families Dentistry
- Families Prosper LLC
- Family and Kids Dental LLC
- Family and Urgent Chiropractic Care
- Family and Youth Intervention Services
- Family Bond Treatment Center LLC
- Family Care Physicians
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.