Active NPI
Cardiac Care Center LLC
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Gilbert, AZ
National Provider Identifier
1265622609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 6960
- Legal business name
- CARDIAC CARE CENTER LLC
- Practice address
- 770 North Monterey
Suite F
Gilbert, AZ 85233-3821 - Phone
- (602) 288-8699
- Fax
- (801) 681-3453
- NPI assigned
- Aug 1, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dwight Carl Lundell, MD
- Title
- General Partner
- Phone
- (602) 288-8699
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 6960 | AZ | Primary |
Addresses
Primary practice location
770 North Monterey
Suite F
Gilbert, AZ 85233-3821
Mailing address
770 North Monterey
Suite F
Gilbert, AZ 85233-3821
Phone (602) 288-8699
National Provider Directory
National Provider DirectoryLocations
770 N Monterey St
Ste F
Gilbert, AZ 85233
Phone (602) 288-8699
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Gilbert, AZ
- NPI 1760672190
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185926400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1185926400000",
"number": "1265622609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "770 NORTH MONTEREY",
"address_2": "SUITE F",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852333821",
"telephone_number": "602-288-8699",
"fax_number": "801-681-3453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "770 NORTH MONTEREY",
"address_2": "SUITE F",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852333821",
"telephone_number": "602-288-8699",
"fax_number": "801-681-3453"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARDIAC CARE CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-01",
"last_updated": "2007-08-01",
"status": "A",
"authorized_official_last_name": "LUNDELL",
"authorized_official_first_name": "DWIGHT",
"authorized_official_middle_name": "CARL",
"authorized_official_title_or_position": "GENERAL PARTNER",
"authorized_official_telephone_number": "602-288-8699",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "AZ",
"license": "6960",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.