Active NPI
Joseph Cale Flaherty, DMD
- Dentist
- Payson, AZ
National Provider Identifier
1881309565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D011508
- Practice address
- 906 S Beeline Hwy
Payson, AZ 85541-5411 - Phone
- (928) 472-2500
- NPI assigned
- Jan 18, 2023
- Last updated
- Jan 18, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D011508 | AZ | Primary |
Addresses
Primary practice location
906 S Beeline Hwy
Payson, AZ 85541-5411
Mailing address
2203 E Park Ave
Gilbert, AZ 85234-1318
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D011508 | AZ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CP Dental LLC | Current | Accepting new patients |
Locations
906 S Beeline Hwy
Payson, AZ 85541
Phone (928) 472-2500
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dental Clinic/Center
- Payson, AZ
- NPI 1306360920
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674000000000",
"number": "1881309565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2203 E PARK AVE",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852341318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "906 S BEELINE HWY",
"city": "PAYSON",
"state": "AZ",
"postal_code": "855415411",
"telephone_number": "928-472-2500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLAHERTY",
"first_name": "JOSEPH",
"middle_name": "CALE",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-01-18",
"last_updated": "2023-01-18",
"certification_date": "2023-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "D011508",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jan 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.