Buenhombre Dental PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

D008966 Issued in AZ

Legal business name

BUENHOMBRE DENTAL PLLC

Practice address

15581 W Mackenzie Dr
Goodyear, AZ 85395-7779

Phone

(520) 429-6957

NPI assigned

Jun 17, 2014

Last updated

Jun 17, 2014By 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

Dr. Caleb Grant Goodman, DMD

Title

Member/Manager

Phone

(520) 429-6957

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1402963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402963200000",
    "number": "1225442213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15581 W MACKENZIE DR",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853957779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15581 W MACKENZIE DR",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853957779",
            "telephone_number": "520-429-6957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUENHOMBRE DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-17",
        "last_updated": "2014-06-17",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "CALEB",
        "authorized_official_middle_name": "GRANT",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "520-429-6957",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D008966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brpdc PLLC
• Audrey Alexa Bruggeman
• Coleman Bryant, D.D.S.
• Nilah Bryant, FNP
• Karee Budnik, COTA/L
• Damaso Soliman Bueno Jr., M.D.
• Frederick Charles Buensuceso, O.D.
• Rana Bull, MA, LAC
• Siniaha Bundy
• Jessica Bunker

• Dentist in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.