Organization Active NPI

Ocotillo Dental Associates LLC

  • Dental Clinic/Center
  • Yuma, AZ
National Provider Identifier
1699389510
Registry record updated Sep 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
OCOTILLO DENTAL ASSOCIATES LLC
Practice address
11259 S Frontage Rd Ste 103
Yuma, AZ 85367-7883
Phone
(928) 342-7351
Fax
(928) 569-1427
NPI assigned
Sep 8, 2020
Last updated
Sep 8, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2020

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

Authorized official

Name
Dr. Claudia Colorado, DDSNPI 1649313313
Title
Owner
Phone
(928) 342-7351

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
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

11259 S Frontage Rd Ste 103
Yuma, AZ 85367-7883

Mailing address

11259 S Frontage Rd Ste 103
Yuma, AZ 85367-7883
Phone (928) 342-7351

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": "1599523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599523200000",
    "number": "1699389510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11259 S FRONTAGE RD STE 103",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853677883",
            "telephone_number": "928-342-7351",
            "fax_number": "928-569-1427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11259 S FRONTAGE RD STE 103",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853677883",
            "telephone_number": "928-342-7351",
            "fax_number": "928-569-1427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCOTILLO DENTAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-08",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A",
        "authorized_official_last_name": "COLORADO",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-342-7351",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.