NPIMap

Organization Active NPI

Desert Family Dentistry PLLC

  • Dentist
  • Tempe, AZ
National Provider Identifier
1356529952
Registry record updated Feb 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5967 Issued in AZ
Legal business name
DESERT FAMILY DENTISTRY PLLC
Practice address
9880 S Rural Rd
Suite 108
Tempe, AZ 85284-4118
Phone
(480) 940-5422
Fax
(480) 940-5515
NPI assigned
Feb 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2008

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

Authorized official

Name
Dr. Clinton Robert Bascamp
Title
Owner
Phone
(480) 940-5422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 5967 AZ Primary

Addresses

Primary practice location

9880 S Rural Rd
Suite 108
Tempe, AZ 85284-4118

Mailing address

9880 S Rural Rd
Suite 108
Tempe, AZ 85284-4118
Phone (480) 940-5422

National Provider Directory

National Provider Directory

Locations

9880 S Rural Rd
Ste 108
Tempe, AZ 85284
Phone (480) 940-5422

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": "1202256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202256000000",
    "number": "1356529952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9880 S RURAL RD",
            "address_2": "SUITE 108",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852844118",
            "telephone_number": "480-940-5422",
            "fax_number": "480-940-5515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9880 S RURAL RD",
            "address_2": "SUITE 108",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852844118",
            "telephone_number": "480-940-5422",
            "fax_number": "480-940-5515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT FAMILY DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-06",
        "last_updated": "2008-02-06",
        "status": "A",
        "authorized_official_last_name": "BASCAMP",
        "authorized_official_first_name": "CLINTON",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-940-5422",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "5967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; 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.