Active NPI
89A Dental Care PLLC
Doing business as 89A Dental Care
- General Practice Dentistry
- Prescott Valley, AZ
National Provider Identifier
1114333739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 20570660-N
- Legal business name
- 89A DENTAL CARE PLLC
- Doing business as
- 89A Dental Care
- Practice address
- 6455 N Viewpoint Dr
Suite 600
Prescott Valley, AZ 86314-3215 - Phone
- (928) 775-8989
- Fax
- (928) 775-8988
- NPI assigned
- Jul 2, 2014
- Last updated
- Jul 2, 2014
- 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. Craig S. Howden, DMD
- Title
- Principal
- Phone
- (928) 642-3989
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 20570660-N | AZ | Primary |
Addresses
Primary practice location
6455 N Viewpoint Dr
Suite 600
Prescott Valley, AZ 86314-3215
Mailing address
6455 N Viewpoint Dr
Suite 600
Prescott Valley, AZ 86314-3215
Phone (928) 775-8989
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 488902 | Medicaid | AZ |
Other names 1
- 89A Dental Care
National Provider Directory
National Provider DirectoryLocations
6455 N Viewpoint Dr
Ste 600
Prescott Valley, AZ 86314
Phone (928) 775-8989
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404259200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1404259200000",
"number": "1114333739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6455 N VIEWPOINT DR",
"address_2": "SUITE 600",
"city": "PRESCOTT VALLEY",
"state": "AZ",
"postal_code": "863143215",
"telephone_number": "928-775-8989",
"fax_number": "928-775-8988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6455 N VIEWPOINT DR",
"address_2": "SUITE 600",
"city": "PRESCOTT VALLEY",
"state": "AZ",
"postal_code": "863143215",
"telephone_number": "928-775-8989",
"fax_number": "928-775-8988"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "89A DENTAL CARE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-07-02",
"last_updated": "2014-07-02",
"status": "A",
"authorized_official_last_name": "HOWDEN",
"authorized_official_first_name": "CRAIG",
"authorized_official_middle_name": "S.",
"authorized_official_title_or_position": "PRINCIPAL",
"authorized_official_telephone_number": "928-642-3989",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "20570660-N",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "488902",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "89A Dental Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Prescott Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.