NPIMap

Organization Active NPI

Tatum Ranch Dental Care

  • Dentist
  • Cave Creek, AZ
National Provider Identifier
1376970848
Registry record updated Sep 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3898 Issued in AZ
Legal business name
TATUM RANCH DENTAL CARE
Practice address
29834 N Cave Creek Rd
#138
Cave Creek, AZ 85331-5836
Phone
(480) 563-5237
Fax
(480) 513-9340
NPI assigned
Sep 30, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2013

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

Authorized official

Name
Dr. Keith Douglas Lamborn, D.D.S.NPI 1467589044
Title
Owner/Dentist
Phone
(480) 563-5237

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 3898 AZ Primary

Addresses

Primary practice location

29834 N Cave Creek Rd
#138
Cave Creek, AZ 85331-5836

Mailing address

PO Box 71549
Phoenix, AZ 85050-1010
Phone (480) 563-5237

National Provider Directory

National Provider Directory

Locations

29834 N Cave Creek Rd
Ste 138
Cave Creek, AZ 85331
Phone (480) 563-5237

Practitioners & affiliated clinicians

Practitioners 2

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": "1380499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380499200000",
    "number": "1376970848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 71549",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850501010",
            "telephone_number": "480-563-5237",
            "fax_number": "480-513-9340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29834 N CAVE CREEK RD",
            "address_2": "#138",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853315836",
            "telephone_number": "480-563-5237",
            "fax_number": "480-513-9340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TATUM RANCH DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-30",
        "last_updated": "2013-09-30",
        "status": "A",
        "authorized_official_last_name": "LAMBORN",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "480-563-5237",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "3898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cave Creek, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2013; 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.