Active NPI
Cordon Orthodontic Center PLLC
- Orthodontics and Dentofacial Orthopedics Dentistry
- Cave Creek, AZ
National Provider Identifier
1104475300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 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 DirectoryLocations
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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Cave Creek, AZ
- NPI 1417092123
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.