Organization Active NPI

Bryan J. Shanahan DDS, PC

Doing business as Peak Family Dental Care Cottonwood

  • Dentist
  • Cottonwood, AZ
National Provider Identifier
1437011764
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
BRYAN J. SHANAHAN DDS, PC
Doing business as
Peak Family Dental Care Cottonwood
Peak Family Dental Care Sedona
Peak Family Dental Flagstaff
Practice address
322 S Main St Ste C
Cottonwood, AZ 86326-3693
Phone
(928) 634-9366
NPI assigned
Nov 25, 2025
Last updated
May 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Authorized official

Name
Lori Rocco
Title
Ops Director
Phone
(928) 634-9366

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X Primary

Addresses

Primary practice location

322 S Main St Ste C
Cottonwood, AZ 86326-3693

Mailing address

322 S Main St Ste C
Cottonwood, AZ 86326-3693

Other practice location 1

750 N Kendrick St Ste 100
Flagstaff, AZ 86001-3067
Phone (928) 440-8856

Other practice location 2

7000 State Route 179 Ste B100-1
Sedona, AZ 86351-9270
Phone (928) 284-1091

Other names 3

  • Peak Family Dental Care Cottonwood Doing business as
  • Peak Family Dental Care Sedona Doing business as
  • Peak Family Dental Flagstaff Doing business as

National Provider Directory

National Provider Directory

Locations

322 S Main St
Ste C
Cottonwood, AZ 86326
Phone (928) 295-6015

750 N Kendrick St
Ste 100
Flagstaff, AZ 86001
Phone (928) 440-1288

7000 State Route 179
Ste B1001
Sedona, AZ 86351
Phone (928) 284-1091

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1764028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778630400000",
    "number": "1437011764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 S MAIN ST STE C",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863263693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 S MAIN ST STE C",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863263693",
            "telephone_number": "928-634-9366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "750 N Kendrick St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Flagstaff",
            "state": "AZ",
            "postal_code": "860013067",
            "country_code": "US",
            "telephone_number": "928-440-8856",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7000 State Route 179 Ste B100-1",
            "address_purpose": "LOCATION",
            "city": "Sedona",
            "state": "AZ",
            "postal_code": "863519270",
            "country_code": "US",
            "telephone_number": "928-284-1091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRYAN J. SHANAHAN DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-25",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A",
        "authorized_official_last_name": "ROCCO",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "OPS DIRECTOR",
        "authorized_official_telephone_number": "928-634-9366"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peak Family Dental Care Cottonwood",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Peak Family Dental Care Sedona",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Peak Family Dental Flagstaff",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cottonwood, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; 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.