Active NPI
Cranmer LLC
- Dental Clinic/Center
- Prescott Valley, AZ
National Provider Identifier
1306350459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 9195
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Dentist
- Prescott Valley, AZ
- NPI 1366636540
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.