Ocotillo Lakes Dental Health

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

OCOTILLO LAKES DENTAL HEALTH

Practice address

3200 S Alma School Rd Ste 103
Chandler, AZ 85248-3755

Phone

(480) 283-5854

Fax

(480) 807-3649

NPI assigned

Jun 19, 2018

Last updated

Jun 19, 2018By 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

Barbara Lee Farnsworth

Title

Business Manager

Phone

(480) 283-5854

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529366400000",
    "number": "1407340854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2947 N POWER RD STE 103",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852151750",
            "telephone_number": "480-283-5854",
            "fax_number": "480-807-3649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 S ALMA SCHOOL RD STE 103",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852483755",
            "telephone_number": "480-283-5854",
            "fax_number": "480-807-3649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCOTILLO LAKES DENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-19",
        "last_updated": "2018-06-19",
        "status": "A",
        "authorized_official_last_name": "FARNSWORTH",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "480-283-5854"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ocotillo Family Dentistry LLC (Ocotillo Family Dentistry)
• Ocotillo Foot and Ankle Centers, PLLC
• Ocotillo Health Centers, LLC
• Ocotillo Healthcare, Inc. (Chandler Post Acute)
• Ocotillo Internal Medicine Associates
• Ocotillo Lakes Endodontics, LLC
• Ocotillo Medical Group LLC
• Ocotillo Primary Care LLC
• Ocotillomd PLC
• Odel Burnes Sr.

• 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 Jun 19, 2018; 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.