Organization Active NPI

Cardiac Care Center LLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Gilbert, AZ
National Provider Identifier
1265622609
Registry record updated Aug 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
6960 Issued in AZ
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

Updated by the provider on Aug 1, 2007

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

Authorized official

Name
Dwight Carl Lundell, MDNPI 1760672190
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)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.