NPIMap

Organization Active NPI

Spurgeon Dental PC

  • Dentist
  • Prescott, AZ
National Provider Identifier
1619933603
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
AZ5571 Issued in AZ
Legal business name
SPURGEON DENTAL PC
Practice address
222 S Summit Ave
#2
Prescott, AZ 86303
Phone
(928) 445-2440
Fax
(928) 778-4240
NPI assigned
Apr 26, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. James C Spurgeon, DDSNPI 1457523680
Title
Dentist President
Phone
(928) 445-2440

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
Dentist 122300000X AZ5571 AZ Primary

Addresses

Primary practice location

222 S Summit Ave
#2
Prescott, AZ 86303

Mailing address

222 S Summit Ave
#2
Prescott, AZ 86303
Phone (928) 445-2440

Other names 1

  • Prescott Dental Center Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1146009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619933603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 S SUMMIT AVE",
            "address_2": "#2",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "86303",
            "telephone_number": "928-445-2440",
            "fax_number": "928-778-4240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 S SUMMIT AVE",
            "address_2": "#2",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "86303",
            "telephone_number": "928-445-2440",
            "fax_number": "928-778-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPURGEON DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SPURGEON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DENTIST PRESIDENT",
        "authorized_official_telephone_number": "928-445-2440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "AZ5571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prescott Dental Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.