Active NPI
John C. Lincoln, LLC
- Family Medicine Physician
- Phoenix, AZ
National Provider Identifier
1417399692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- JOHN C. LINCOLN, LLC
- Practice address
- 12235 N Cave Creek Rd
Ste. 9
Phoenix, AZ 85022-6509 - Phone
- (602) 992-7700
- Fax
- (602) 992-7722
- NPI assigned
- Jul 29, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard Silver
- Title
- Ceo
- Phone
- (623) 434-6200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
12235 N Cave Creek Rd
Ste. 9
Phoenix, AZ 85022-6509
Mailing address
PO Box 845635
Los Angeles, CA 90084-5635
Phone (623) 434-6200
Other names 1
- John C Lincoln Cactus Family Medicine
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1528065422
-
- Family Medicine Physician
- Anthem, AZ
- NPI 1063405090
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1992793335
-
- Acute Care Nurse Practitioner
- Scottsdale, AZ
- NPI 1285041509
-
- Family Medicine Physician
- Glendale, AZ
- NPI 1679604524
-
- Family Medicine Physician
- Hurst, TX
- NPI 1326485335
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375056000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1549065600000",
"number": "1417399692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 845635",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900845635",
"telephone_number": "623-434-6200",
"fax_number": "623-434-6164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12235 N CAVE CREEK RD",
"address_2": "STE. 9",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850226509",
"telephone_number": "602-992-7700",
"fax_number": "602-992-7722"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN C. LINCOLN, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-07-29",
"last_updated": "2019-02-02",
"status": "A",
"authorized_official_last_name": "SILVER",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "623-434-6200"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "John C Lincoln Cactus Family Medicine",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "John C Lincoln Cactus Family Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}
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- John C. Lincoln LLC
- John C. Lincoln North Mountain Professionals, LLC
- John C. Lincoln North Mountain Professionals, LLC
- John C. Lincoln, LLC
- John C. Lincoln, LLC
- John C. Lincoln, LLC
- John C. Lincoln, LLC
- John E. Culp, III DMD, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.