Copper Canyon Family Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

COPPER CANYON FAMILY DENTAL

Practice address

26 W Salt Mine Rd
Camp Verde, AZ 86322-7170

Phone

(480) 734-9784

NPI assigned

Apr 29, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Denyse Carter

Title

Office Manager

Phone

(480) 688-7348

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ryan D Carter, DDS

  • Dentist
  • Lake Montezuma, AZ
  • NPI 1912346008

  General Practice

  NPD (past)

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

{
    "created_epoch": "1556496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556496000000",
    "number": "1447814199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5682",
            "city": "LK MONTEZUMA",
            "state": "AZ",
            "postal_code": "863425682",
            "telephone_number": "480-688-7348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 W SALT MINE RD",
            "city": "CAMP VERDE",
            "state": "AZ",
            "postal_code": "863227170",
            "telephone_number": "480-734-9784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPPER CANYON FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-29",
        "last_updated": "2019-04-29",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "DENYSE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "480-688-7348",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonia Maria Castrita
• Central Arizona Sports and Physical Therapy, LLC (Central Arizona Sports and Physical Therapy)
• Central Arizona Therapy LLC (Central AZ Therapy)
• Charlotte Anne Chase, PHD
• Kegan Jordan Coplan, PHARMD
• Copper Canyon Family Health Center
• Copper Canyon Fire & Medical District
• Copper Canyon Fire and Medical Authority
• Michael Costa, PHARMD
• Crosswinds Physical Therapy LLC

• General Practice Dentistry in Camp Verde, AZ
• Providers in Camp Verde, 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 Apr 29, 2019; 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.