Cactus Dental, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

CACTUS DENTAL, LLC

Practice address

7440 W Cactus Rd Ste A18
Peoria, AZ 85381-9534

Phone

(623) 979-4400

Fax

(623) 979-4402

NPI assigned

Mar 14, 2019

Organization subpart

No

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

Authorized official

Name

Brett Garrett Hawkins

Title

Dentist/Owner

Phone

(602) 363-3322

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1552521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552521600000",
    "number": "1578022018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7440 W CACTUS RD STE A18",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853819534",
            "telephone_number": "623-979-4400",
            "fax_number": "623-979-4402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7440 W CACTUS RD STE A18",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853819534",
            "telephone_number": "623-979-4400",
            "fax_number": "623-979-4402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CACTUS DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-14",
        "last_updated": "2019-03-14",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "GARRETT",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "602-363-3322"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cactus Chiropractic Clinic LLC
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• Cactus Dental Care LLC
• Cactus Medical Center LLC
• Cactus Pain Relief, LLC
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• Ferran Caldwell
• Ryan A Call, DMD

• Dental Clinic/Center in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Dental Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.