Organization Active NPI

Mountain Ranch Family & Cosmetic Dentistry

  • Dental Clinic/Center
  • Goodyear, AZ
National Provider Identifier
1235022278
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MOUNTAIN RANCH FAMILY & COSMETIC DENTISTRY
Practice address
17650 W Elliot Rd Ste A120
Goodyear, AZ 85338-9013
Phone
(623) 327-0231
Fax
(623) 327-9158
NPI assigned
May 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Authorized official

Name
Diane Spaulding
Title
Office Manager
Phone
(623) 327-0231

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

17650 W Elliot Rd Ste A120
Goodyear, AZ 85338-9013

Mailing address

17650 W Elliot Rd Ste A120
Goodyear, AZ 85338-9013
Phone (623) 327-0231

National Provider Directory

National Provider Directory

Locations

17650 W Elliot Rd
Ste A120
Goodyear, AZ 85338
Phone (623) 327-0231

Practitioners & affiliated clinicians

Practitioners 2

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": "1748476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748476800000",
    "number": "1235022278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17650 W ELLIOT RD STE A120",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853389013",
            "telephone_number": "623-327-0231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17650 W ELLIOT RD STE A120",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853389013",
            "telephone_number": "623-327-0231",
            "fax_number": "623-327-9158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN RANCH FAMILY & COSMETIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-29",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A",
        "authorized_official_last_name": "SPAULDING",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "623-327-0231"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; 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.