NPIMap

Organization Active NPI

Camelback Family Dentistry, LLC

  • Dentist
  • Mesa, AZ
National Provider Identifier
1861632614
Registry record updated Mar 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
CAMELBACK FAMILY DENTISTRY, LLC
Practice address
67 North Dobson Road
Suite A104
Mesa, AZ 85201
Phone
(480) 668-1190
Fax
(480) 668-1375
NPI assigned
Mar 5, 2009
Last updated
Mar 5, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2009

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

Authorized official

Name
Mrs. Girija Madarajan, DDS
Title
Owner/President of Operations
Phone
(480) 558-1037

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X Primary

Addresses

Primary practice location

67 North Dobson Road
Suite A104
Mesa, AZ 85201

Mailing address

67 North Dobson Road
Suite A104
Mesa, AZ 85201
Phone (480) 668-1190

Other names 1

  • Camelback Cosmetic & Family Dentistry Other name

National Provider Directory

National Provider Directory

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": "1236211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236211200000",
    "number": "1861632614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 NORTH DOBSON ROAD",
            "address_2": "SUITE A104",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85201",
            "telephone_number": "480-668-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 NORTH DOBSON ROAD",
            "address_2": "SUITE A104",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85201",
            "telephone_number": "480-668-1190",
            "fax_number": "480-668-1375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMELBACK FAMILY DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-05",
        "last_updated": "2009-03-05",
        "status": "A",
        "authorized_official_last_name": "MADARAJAN",
        "authorized_official_first_name": "GIRIJA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "480-558-1037",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Camelback Cosmetic & Family Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2009; 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.