Cactus Valley Dentistry PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CACTUS VALLEY DENTISTRY PLLC

Practice address

1185 N Arizona Blvd
Coolidge, AZ 85128-3203

Phone

(520) 231-9515

Fax

(520) 231-9515

NPI assigned

Apr 7, 2026

Last updated

Jun 18, 2026By 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

Jose Andres Andrino, DDSNPI 1003541541

Title

Dentist

Phone

(480) 307-5000

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.

• Jose Andres Andrino, DDS

  • Dentist
  • Mesa, AZ
  • NPI 1003541541
  NPD Authorized official

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

{
    "created_epoch": "1775520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781740800000",
    "number": "1215879481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1185 N ARIZONA BLVD",
            "city": "COOLIDGE",
            "state": "AZ",
            "postal_code": "851283203",
            "telephone_number": "520-759-4100",
            "fax_number": "520-231-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1185 N ARIZONA BLVD",
            "city": "COOLIDGE",
            "state": "AZ",
            "postal_code": "851283203",
            "telephone_number": "520-231-9515",
            "fax_number": "520-231-9515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CACTUS VALLEY DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-07",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A",
        "authorized_official_last_name": "ANDRINO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "ANDRES",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "480-307-5000",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonnie Lou Boatwright, R.N.
• Brooke Brelsford, PHARMD
• Jourdyn Allyson Buckheit, DMD
• Kendra Byrd, LMSW
• Christina Cabrera
• Andrea Carbone
• Kyrah Cashay Carrola
• Toni Ann Casale
• CFDC, LLC (Coolidge Family Dental Care)
• Corde' Chase

• General Practice Dentistry in Coolidge, AZ
• Providers in Coolidge, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; 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.