Organization Active NPI

Matthew J Cavendish, DDS, PLLC

  • General Practice Dentistry
  • Phoenix, AZ
National Provider Identifier
1508877051
Registry record updated Oct 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7383 Issued in AZ
Legal business name
MATTHEW J CAVENDISH, DDS, PLLC
Practice address
4646 E Greenway Rd
Suite 102
Phoenix, AZ 85032-4805
Phone
(602) 482-2785
Fax
(602) 482-7689
NPI assigned
Aug 10, 2006
Last updated
Oct 29, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2007

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

Authorized official

Name
Dr. Matthew James Cavendish, D.D.S.NPI 1922019462
Title
Owner
Phone
(602) 482-2785

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7383 AZ Primary

Addresses

Primary practice location

4646 E Greenway Rd
Suite 102
Phoenix, AZ 85032-4805

Mailing address

4646 E Greenway Rd
Suite 102
Phoenix, AZ 85032-4805
Phone (602) 482-2785

National Provider Directory

National Provider Directory

Locations

4646 E Greenway Rd
Ste 102
Phoenix, AZ 85032
Phone (602) 482-2785

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": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193616000000",
    "number": "1508877051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4646 E GREENWAY RD",
            "address_2": "SUITE 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850324805",
            "telephone_number": "602-482-2785",
            "fax_number": "602-482-7689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4646 E GREENWAY RD",
            "address_2": "SUITE 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850324805",
            "telephone_number": "602-482-2785",
            "fax_number": "602-482-7689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW J CAVENDISH, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2007-10-29",
        "status": "A",
        "authorized_official_last_name": "CAVENDISH",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-482-2785",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "7383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; 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.