NPIMap

Organization Active NPI

Tatum Creek Family Dentistry LLC

  • Dentist
  • Cave Creek, AZ
National Provider Identifier
1679867162
Registry record updated Jun 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D7238 Issued in NV
Legal business name
TATUM CREEK FAMILY DENTISTRY LLC
Practice address
30012 N Cave Creek Rd Ste 100
Cave Creek, AZ 85331-5833
Phone
(480) 488-0686
Fax
(480) 488-8586
NPI assigned
Jun 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2011

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

Authorized official

Name
Dr. Erin McKinney, RDH, DMDNPI 1659574762
Title
Doctor
Phone
(480) 488-0686

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X D7238 NV Primary

Addresses

Primary practice location

30012 N Cave Creek Rd Ste 100
Cave Creek, AZ 85331-5833

Mailing address

30012 N Cave Creek Rd Ste 100
Cave Creek, AZ 85331-5833
Phone (480) 488-0686

National Provider Directory

National Provider Directory

Locations

30012 N Cave Creek Rd
Ste 100
Cave Creek, AZ 85331
Phone (480) 488-0686

Practitioners & affiliated clinicians

Practitioners 4

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": "1306972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306972800000",
    "number": "1679867162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30012 N CAVE CREEK RD STE 100",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853315833",
            "telephone_number": "480-488-0686",
            "fax_number": "480-488-8586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30012 N CAVE CREEK RD STE 100",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853315833",
            "telephone_number": "480-488-0686",
            "fax_number": "480-488-8586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TATUM CREEK FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-02",
        "last_updated": "2011-06-02",
        "status": "A",
        "authorized_official_last_name": "MCKINNEY",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "480-488-0686",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "RDH, DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NV",
            "license": "D7238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cave Creek, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2011; 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.