Organization Active NPI

Cordon Orthodontic Center PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Cave Creek, AZ
National Provider Identifier
1104475300
Registry record updated Sep 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
CORDON ORTHODONTIC CENTER PLLC
Practice address
30012 N Cave Creek Rd Ste 102
Cave Creek, AZ 85331-5833
Phone
(480) 563-8926
NPI assigned
Sep 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2019

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

Authorized official

Name
Mike Cole
Title
VP Insurance Plan Management
Phone
(941) 955-3150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

30012 N Cave Creek Rd Ste 102
Cave Creek, AZ 85331-5833

Mailing address

30012 N Cave Creek Rd Ste 102
Cave Creek, AZ 85331-5833
Phone (480) 563-8926

National Provider Directory

National Provider Directory

Locations

30012 N Cave Creek Rd
Ste 102
Cave Creek, AZ 85331
Phone (480) 563-8926

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": "1568073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568073600000",
    "number": "1104475300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30012 N CAVE CREEK RD STE 102",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853315833",
            "telephone_number": "480-563-8926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30012 N CAVE CREEK RD STE 102",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853315833",
            "telephone_number": "480-563-8926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORDON ORTHODONTIC CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-10",
        "last_updated": "2019-09-10",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "VP INSURANCE PLAN MANAGEMENT",
        "authorized_official_telephone_number": "941-955-3150"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cave Creek, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; 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.