Organization Active NPI

Cranmer LLC

  • Dental Clinic/Center
  • Prescott Valley, AZ
National Provider Identifier
1306350459
Registry record updated Nov 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
9195 Issued in AZ
Legal business name
CRANMER LLC
Practice address
8154 E Florentine Rd Ste B
Prescott Valley, AZ 86314-8487
Phone
(928) 772-8175
Fax
(928) 772-8351
NPI assigned
Nov 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2017

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

Authorized official

Name
Dr. Harold Henderson, DDS
Title
Owner/Dentist
Phone
(928) 772-9175

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 9195 AZ Primary

Addresses

Primary practice location

8154 E Florentine Rd Ste B
Prescott Valley, AZ 86314-8487

Mailing address

8154 E Florentine Rd Ste B
Prescott Valley, AZ 86314-8487
Phone (928) 772-8175

Other names 1

  • PV Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

8154 E Florentine Rd
Ste B
Prescott Valley, AZ 86314
Phone (928) 772-8175

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": "1511827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511827200000",
    "number": "1306350459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8154 E FLORENTINE RD STE B",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863148487",
            "telephone_number": "928-772-8175",
            "fax_number": "928-772-8351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8154 E FLORENTINE RD STE B",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863148487",
            "telephone_number": "928-772-8175",
            "fax_number": "928-772-8351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRANMER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-28",
        "last_updated": "2017-11-28",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "928-772-9175",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AZ",
            "license": "9195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PV Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Prescott Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2017; 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.