Ocotillo Family Dentistry LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

OCOTILLO FAMILY DENTISTRY LLC

Practice address

995 E Ocotillo Rd
Suite #3
Chandler, AZ 85249-3111

Phone

(480) 802-8686

Fax

(480) 802-8688

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Girija Nadarajan

Title

Managing Member Owner

Phone

(480) 802-8686

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Ocotillo Family Dentistry Doing business as

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396957577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "995 E OCOTILLO RD",
            "address_2": "SUITE #3",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852493111",
            "telephone_number": "480-802-8686",
            "fax_number": "480-802-8688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 E OCOTILLO RD",
            "address_2": "SUITE #3",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852493111",
            "telephone_number": "480-802-8686",
            "fax_number": "480-802-8688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCOTILLO FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NADARAJAN",
        "authorized_official_first_name": "GIRIJA",
        "authorized_official_title_or_position": "MANAGING MEMBER OWNER",
        "authorized_official_telephone_number": "480-802-8686"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCCI",
            "identifier": "1886702",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHA",
            "identifier": "78195",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ocotillo Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ocotillo Chiropractic Center PC
• Ocotillo Dental Care, PC
• Ocotillo Dentistry LLC
• Ocotillo Dermatology, PLLC
• Ocotillo Eyecare P.C.
• Ocotillo Foot and Ankle Centers, PLLC
• Ocotillo Health Centers, LLC
• Ocotillo Healthcare, Inc.
• Ocotillo Internal Medicine Associates
• Ocotillo Lakes Dental Health

• General Practice Dentistry in Chandler, AZ
• Providers in Chandler, 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 Aug 22, 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.

Verify at the official NPI Registry.