NPIMap

Organization Active NPI

Cottonwood Children'S Dentistry

  • Pediatric Dentistry
  • Cottonwood, AZ
National Provider Identifier
1184020166
Registry record updated Nov 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
COTTONWOOD CHILDREN'S DENTISTRY
Practice address
10 N Alamos Dr
Cottonwood, AZ 86326-4020
Phone
(928) 634-6641
NPI assigned
Nov 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2014

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

Authorized official

Name
Judd Wasden
Title
Manager
Phone
(720) 530-1198

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

10 N Alamos Dr
Cottonwood, AZ 86326-4020

Mailing address

10 N Alamos Dr
Cottonwood, AZ 86326-4020
Phone (928) 634-6641

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1416268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416268800000",
    "number": "1184020166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 N ALAMOS DR",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264020",
            "telephone_number": "928-634-6641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 N ALAMOS DR",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264020",
            "telephone_number": "928-634-6641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COTTONWOOD CHILDREN'S DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-18",
        "last_updated": "2014-11-18",
        "status": "A",
        "authorized_official_last_name": "WASDEN",
        "authorized_official_first_name": "JUDD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "720-530-1198"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cottonwood, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.