Active NPI
Cheryl Ligon
- Dentist
- Prescott Valley, AZ
National Provider Identifier
1396369609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D010664
- Practice address
- 7136 Pav Way
Prescott Valley, AZ 86314-2264 - Phone
- (928) 775-9495
- Fax
- (928) 775-9497
- NPI assigned
- Jun 2, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D010664 | AZ | Primary |
Addresses
Primary practice location
7136 Pav Way
Prescott Valley, AZ 86314-2264
Mailing address
1040 Whipple St Apt 226
Prescott, AZ 86305-1695
Phone (402) 740-4757
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
| License | State | Type | Specialty |
|---|---|---|---|
| D010664 | AZ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CL DDS PLLC | Current | Accepting new patients | |
| Bradshaw Mountain Family Dental Group PC | Past | Accepting new patients | |
| Bradshaw Mountain Family Dental | Past | Accepting new patients |
Locations
1260 S State Route 89
Ste G
Chino Valley, AZ 86323
Phone (928) 237-1305
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Chino Valley, AZ
- NPI 1861198921
-
- Preferred Provider Organization
- Prescott Valley, AZ
- NPI 1861855884
-
- Dental Clinic/Center
- Prescott Valley, AZ
- NPI 1972773141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591056000000",
"number": "1396369609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1040 WHIPPLE ST APT 226",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863051695",
"telephone_number": "402-740-4757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7136 PAV WAY",
"city": "PRESCOTT VALLEY",
"state": "AZ",
"postal_code": "863142264",
"telephone_number": "928-775-9495",
"fax_number": "928-775-9497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIGON",
"first_name": "CHERYL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-02",
"last_updated": "2020-06-02",
"certification_date": "2020-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "D010664",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prescott Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.