Organization Active NPI

89A Dental Care PLLC

Doing business as 89A Dental Care

  • General Practice Dentistry
  • Prescott Valley, AZ
National Provider Identifier
1114333739
Registry record updated Jul 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20570660-N Issued in AZ
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, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2014

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
488902MedicaidAZ

Other names 1

  • 89A Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.