NPIMap

Organization Active NPI

Sedona Dentistry

  • General Practice Dentistry
  • Sedona, AZ
National Provider Identifier
1194240929
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D009737 Issued in AZ
Legal business name
SEDONA DENTISTRY
Practice address
1785 W Highway 89a Ste 3G
Sedona, AZ 86336-5577
Phone
(928) 282-9414
NPI assigned
Aug 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Phillip Plourde, DMDNPI 1265960298
Title
Dentist / Business Partner
Phone
(602) 615-3269

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D009737 AZ Primary

Addresses

Primary practice location

1785 W Highway 89a Ste 3G
Sedona, AZ 86336-5577

Mailing address

1785 W Highway 89a Ste 3G
Sedona, AZ 86336-5577
Phone (928) 282-9414

National Provider Directory

National Provider Directory

Locations

1785 W State Route 89A
Ste 3G
Sedona, AZ 86336
Phone (928) 282-2077

Practitioners & affiliated clinicians

Practitioners 3

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": "1502668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1194240929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1785 W HIGHWAY 89A STE 3G",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863365577",
            "telephone_number": "928-282-9414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1785 W HIGHWAY 89A STE 3G",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863365577",
            "telephone_number": "928-282-9414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEDONA DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PLOURDE",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "DENTIST / BUSINESS PARTNER",
        "authorized_official_telephone_number": "602-615-3269",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D009737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sedona, AZ

Sources for this page

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