CDC Group Inc

Primary specialty

DentistTaxonomy code 122300000X

License

D7163 Issued in AZ

Legal business name

CDC GROUP INC

Practice address

7700 E Indian School Rd Ste 3
Scottsdale, AZ 85251-4043

Phone

(480) 941-7070

Fax

(480) 941-0067

NPI assigned

May 5, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Roy Shim, DDS

Title

Ceo

Phone

(480) 941-7070

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1430784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430784000000",
    "number": "1518344910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 E INDIAN SCHOOL RD STE 3",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852514043",
            "telephone_number": "480-941-7070",
            "fax_number": "480-941-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 E INDIAN SCHOOL RD STE 3",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852514043",
            "telephone_number": "480-941-7070",
            "fax_number": "480-941-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CDC GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-05",
        "last_updated": "2015-05-05",
        "status": "A",
        "authorized_official_last_name": "SHIM",
        "authorized_official_first_name": "ROY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-941-7070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D7163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2015; 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.