Diamond M Dental Associates, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

F0286 Issued in AZ

Legal business name

DIAMOND M DENTAL ASSOCIATES, LLC

Practice address

198 W Oak St
Globe, AZ 85501-2544

Phone

(928) 425-0670

NPI assigned

Dec 13, 2011

Last updated

Dec 13, 2011By 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

C L Hinderberger

Title

Office Manager

Phone

(928) 425-0670

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323734400000",
    "number": "1386913713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 W OAK ST",
            "city": "GLOBE",
            "state": "AZ",
            "postal_code": "855012544",
            "telephone_number": "928-425-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 W OAK ST",
            "city": "GLOBE",
            "state": "AZ",
            "postal_code": "855012544",
            "telephone_number": "928-425-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAMOND M DENTAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-13",
        "last_updated": "2011-12-13",
        "status": "A",
        "authorized_official_last_name": "HINDERBERGER",
        "authorized_official_first_name": "C",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "928-425-0670"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "F0286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Globe, AZ
• Providers in Globe, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; 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.