Active NPI
Mitchell C. Preston MD PLLC
- Family Medicine Physician
- Cottonwood, AZ
National Provider Identifier
1891993416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 31874
- Legal business name
- MITCHELL C. PRESTON MD PLLC
- Practice address
- 1759 E Villa Dr
Suite 114
Cottonwood, AZ 86326-4681 - Phone
- (928) 649-9519
- NPI assigned
- Jul 5, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mitchell C Preston, M.D
- Title
- Medical Doctor
- Phone
- (928) 649-9519
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 31874 | AZ | Primary |
Addresses
Primary practice location
1759 E Villa Dr
Suite 114
Cottonwood, AZ 86326-4681
Mailing address
PO Box 4420
Cottonwood, AZ 86326-2574
Phone (928) 649-9519
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 821753 | Other | AZ | AHCCCS ID |
National Provider Directory
National Provider Directory- Tax ID family
- A New Frontier
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
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- Durham, NC
- NPI 1790953958
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
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- NPI 1417955766
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183593600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1891993416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4420",
"city": "COTTONWOOD",
"state": "AZ",
"postal_code": "863262574",
"telephone_number": "928-649-9519",
"fax_number": "928-649-9967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1759 E VILLA DR",
"address_2": "SUITE 114",
"city": "COTTONWOOD",
"state": "AZ",
"postal_code": "863264681",
"telephone_number": "928-649-9519"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MITCHELL C. PRESTON MD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-05",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PRESTON",
"authorized_official_first_name": "MITCHELL",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "MEDICAL DOCTOR",
"authorized_official_telephone_number": "928-649-9519",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "AZ",
"license": "31874",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCCCS ID",
"identifier": "821753",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cottonwood, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.