Tatum Point Dentistry LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

TATUM POINT DENTISTRY LLC

Practice address

4747 E Bell Rd
Ste #15
Phoenix, AZ 85032-2301

Phone

(623) 289-2580

NPI assigned

Sep 15, 2020

Organization subpart

No

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

Authorized official

Name

Kristina Kellici

Title

Manager

Phone

(623) 439-2280

Specialties & licenses 2

Addresses

Electronic endpoints 3

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ruth Christine Gonzalez, DDS

  • Dentist
  • Phoenix, AZ
  • NPI 1275637969

  General Practice

  NPD

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

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724976000000",
    "number": "1255946257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "TATUM POINT DENTISTRY LLC",
            "address_2": "19601 N BLACK CANYON HWY, #201",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274107",
            "telephone_number": "623-289-2580",
            "fax_number": "623-289-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4747 E BELL RD",
            "address_2": "STE #15",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322301",
            "telephone_number": "623-289-2580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TATUM POINT DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-15",
        "last_updated": "2024-08-30",
        "certification_date": "2020-09-15",
        "status": "A",
        "authorized_official_last_name": "KELLICI",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "623-439-2280"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Phoenix",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4747 E Bell Rd Ste 15",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850322301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Phoenix",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4747 E Bell Rd Ste 15",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850322301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Phoenix",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4747 E Bell Rd Ste 15",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850322301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tatum Facility, LLC
• Tatum Highlands Medical Associates PLC
• Tatum Internal Medicine & Associates PLLC
• Tatum Pain Ventures LLC
• Tatum Point Chiropractic, Inc
• Tatum Professional Group LLC
• Tatum Ridge Internal Medicine PLC
• Tatum Smiles, LLP (Tatum Smiles)
• Tatum Technical LLC
• Cherlyn Tatum

• General Practice Dentistry in Phoenix, AZ
• Providers in Phoenix, 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 Aug 30, 2024; 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.