Organization Active NPI

M Drakulovic DDS PC

  • Dental Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1174071922
Registry record updated Sep 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
7739 Issued in AZ
Legal business name
M DRAKULOVIC DDS PC
Practice address
711 E Carefree Hwy
Ste 210
Phoenix, AZ 85085-0101
Phone
(623) 434-9868
Fax
(623) 434-9864
NPI assigned
Sep 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2016

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

Authorized official

Name
Milutin Drakulovic, DDSNPI 1063687077
Title
President
Phone
(623) 434-9868

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 7739 AZ Primary

Addresses

Primary practice location

711 E Carefree Hwy
Ste 210
Phoenix, AZ 85085-0101

Mailing address

711 E Carefree Hwy
Ste 210
Phoenix, AZ 85085-0101
Phone (623) 434-9868

National Provider Directory

National Provider Directory

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": "1474416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474416000000",
    "number": "1174071922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 E CAREFREE HWY",
            "address_2": "STE 210",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850850101",
            "telephone_number": "623-434-9868",
            "fax_number": "623-434-9864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 E CAREFREE HWY",
            "address_2": "STE 210",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850850101",
            "telephone_number": "623-434-9868",
            "fax_number": "623-434-9864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M DRAKULOVIC DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-21",
        "last_updated": "2016-09-21",
        "status": "A",
        "authorized_official_last_name": "DRAKULOVIC",
        "authorized_official_first_name": "MILUTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-434-9868",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AZ",
            "license": "7739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2016; 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.