NPIMap

Organization Active NPI

Frontier Dental Arts, P.C.

  • General Practice Dentistry
  • Payson, AZ
National Provider Identifier
1730146291
Registry record updated Nov 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3009 Issued in AZ
Legal business name
FRONTIER DENTAL ARTS, P.C.
Practice address
704 S Meadow St
Payson, AZ 85541-5341
Phone
(928) 474-5231
Fax
(928) 474-7448
NPI assigned
Apr 27, 2006
Last updated
Nov 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2010

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

Authorized official

Name
Dr. William Raymond Blackmore, DDSNPI 1043262355
Title
President
Phone
(928) 474-5231

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 3009 AZ Primary

Addresses

Primary practice location

704 S Meadow St
Payson, AZ 85541-5341

Mailing address

704 S Meadow St
Payson, AZ 85541-5341
Phone (928) 474-5231

Other names 1

  • William R Blackmore, DDS, P.C. Former legal business name

National Provider Directory

National Provider Directory

Locations

704 S Meadow St
Payson, AZ 85541
Phone (928) 474-5231

Practitioners & affiliated clinicians

Practitioners 3

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": "1146096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289174400000",
    "number": "1730146291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 S MEADOW ST",
            "city": "PAYSON",
            "state": "AZ",
            "postal_code": "855415341",
            "telephone_number": "928-474-5231",
            "fax_number": "928-474-7448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 S MEADOW ST",
            "city": "PAYSON",
            "state": "AZ",
            "postal_code": "855415341",
            "telephone_number": "928-474-5231",
            "fax_number": "928-474-7448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONTIER DENTAL ARTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-27",
        "last_updated": "2010-11-08",
        "status": "A",
        "authorized_official_last_name": "BLACKMORE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-474-5231",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "3009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "William R Blackmore, DDS, P.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Payson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2010; 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.