Cheyenne Family Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CHEYENNE FAMILY DENTISTRY

Practice address

6015 Sycamore Rd
Cheyenne, WY 82009-4347

Phone

(307) 634-3672

Fax

(307) 635-9970

NPI assigned

Jun 20, 2022

Last updated

Jun 20, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Benjamin Escobedo, DDSNPI 1225699184

Title

Dentist

Phone

(307) 634-3672

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Benjamin Escobedo, DDS

  • General Practice Dentistry
  • Cheyenne, WY
  • NPI 1225699184
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1655683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655683200000",
    "number": "1154052314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6015 SYCAMORE RD",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820094347",
            "telephone_number": "307-634-3672",
            "fax_number": "307-635-9970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6015 SYCAMORE RD",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820094347",
            "telephone_number": "307-634-3672",
            "fax_number": "307-635-9970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEYENNE FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-20",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A",
        "authorized_official_last_name": "ESCOBEDO",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "307-634-3672",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cheyenne Habilitation & Therapeutic Center, Inc
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• Cheyenne Health & Wellness Center (HealthWorks)
• Cheyenne Health & Wellness Center (HealthWorks)

• General Practice Dentistry in Cheyenne, WY
• Providers in Cheyenne, WY by specialty
• General Practice Dentistry in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; 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.