Individual provider Active NPI

Garth Blair McCaffrey, DDS

  • Dentist
  • Sun City, AZ
National Provider Identifier
1376780817
Registry record updated Jan 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D009676 Issued in AZ
Practice address
10503 W Thunderbird Blvd Ste 371
Sun City, AZ 85351-2721
Phone
(239) 682-2865
NPI assigned
Jan 20, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN16993 FL
Dentist 122300000X D009676 AZ Primary

Addresses

Primary practice location

10503 W Thunderbird Blvd Ste 371
Sun City, AZ 85351-2721

Mailing address

38840 N Spur Cross Rd
Cave Creek, AZ 85331-8505
Phone (239) 682-2865

Other practice location 1

104 Inagua Ln
Bonita Springs, FL 34134-8521
Phone (239) 682-2865

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D009676AZMDDentist
DN16993FLMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1232409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547769600000",
    "number": "1376780817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38840 N SPUR CROSS RD",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853318505",
            "telephone_number": "239-682-2865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10503 W THUNDERBIRD BLVD STE 371",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853512721",
            "telephone_number": "239-682-2865"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 Inagua Ln",
            "address_purpose": "LOCATION",
            "city": "Bonita Springs",
            "state": "FL",
            "postal_code": "341348521",
            "country_code": "US",
            "telephone_number": "239-682-2865",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCAFFREY",
        "first_name": "GARTH",
        "middle_name": "BLAIR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-20",
        "last_updated": "2019-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN16993",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D009676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; 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.