John E. Culp, III DMD, PC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

4457 Issued in AZ

Legal business name

JOHN E. CULP, III DMD, PC

Doing business as

Jungle Roots Children's Dentistry

Practice address

2080 E Williams Field Rd
Suite #104
Gilbert, AZ 85295-0702

Phone

(480) 759-1119

Fax

(480) 759-1180

NPI assigned

Nov 18, 2016

Organization subpart

No

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

Authorized official

Name

Mary Madoche

Title

Practice Manager

Phone

(480) 759-1119

Specialties & licenses 1

Addresses

Other names 1

• Jungle Roots Children's Dentistry Doing business as

Tax ID family

John E Culp III DMD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• John E. Culp, III DMD, PC

  • Pediatric Dentistry
  • Phoenix, AZ
  • NPI 1972045417
  NPD tax ID

Locations

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

{
    "created_epoch": "1479427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479427200000",
    "number": "1184167447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4232 E CHANDLER BLVD",
            "address_2": "SUITE #10",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850488879",
            "telephone_number": "480-759-1119",
            "fax_number": "480-759-1180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 E WILLIAMS FIELD RD",
            "address_2": "SUITE #104",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852950702",
            "telephone_number": "480-759-1119",
            "fax_number": "480-759-1180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN E. CULP, III DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-18",
        "last_updated": "2016-11-18",
        "status": "A",
        "authorized_official_last_name": "MADOCHE",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "480-759-1119"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AZ",
            "license": "4457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jungle Roots Children's Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jmaim DME PLLC
• JNS Wellness
• Sabine Joachin, PHARMD
• Laura Jean Jochen, FNP-C
• John a. Hatch DDS PC
• John Kingsley MD PLLC
• Amala John, LCSW
• Jijo John, MD
• Marjorie Mae Johns
• Timothy A Johns, MD

• Pediatric Dentistry in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Pediatric Dentistry in Arizona

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