CP Dental LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

CP DENTAL LLC

Practice address

906 S Beeline Hwy
Payson, AZ 85541-5411

Phone

(928) 472-2500

NPI assigned

Jul 26, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tiffany Brunson

Title

Office Manager

Phone

(928) 472-2500

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David John Allen, DMD

  • General Practice Dentistry
  • Payson, AZ
  • NPI 1104593912
  NPD
• Joseph Cale Flaherty, DMD

  • Dentist
  • Payson, AZ
  • NPI 1881309565
  NPD
• Clinton Brent Stuart, DDS

  • General Practice Dentistry
  • Payson, AZ
  • NPI 1013758481
  NPD

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

{
    "created_epoch": "1501027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1306360920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 S BEELINE HWY",
            "city": "PAYSON",
            "state": "AZ",
            "postal_code": "855415411",
            "telephone_number": "928-472-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 S BEELINE HWY",
            "city": "PAYSON",
            "state": "AZ",
            "postal_code": "855415411",
            "telephone_number": "928-472-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CP DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BRUNSON",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "928-472-2500"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luis Coppelli, M.D.
• Ramona T Coppelli, N.P.
• Tom Cosper, PHARMD
• County of Gila (Gila County Division of Health and Community Services)
• County of Gila Payson Unified School Dist 10
• Adam Kemp Crandell, DO
• Andy Crandell
• Kathleen Louise Crane, SLP
• Creekside Birth Cottage
• Larry Gene Cromwell, MD

• Dental Clinic/Center in Payson, AZ
• Providers in Payson, AZ by specialty
• Dental Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.