Matthew James Cavendish, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7383 Issued in AZ

Practice address

4646 E Greenway Rd
Suite 102
Phoenix, AZ 85032-4805

Phone

(602) 482-2785

Fax

(602) 482-7689

NPI assigned

Aug 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Matthew J Cavendish, DDS, PLLC

  • General Practice Dentistry
  • Phoenix, AZ
  • NPI 1508877051
  NPD (past) Authorized official
• MJC Dental, PLLC

  • General Practice Dentistry
  • Scottsdale, AZ
  • NPI 1073825725
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193616000000",
    "number": "1922019462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4646 E GREENWAY RD",
            "address_2": "SUITE 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850324805",
            "telephone_number": "602-482-2785",
            "fax_number": "602-482-7689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4646 E GREENWAY RD",
            "address_2": "SUITE 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850324805",
            "telephone_number": "602-482-2785",
            "fax_number": "602-482-7689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVENDISH",
        "first_name": "MATTHEW",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2007-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "7383",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "17894",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cave Creek Clinic, LLC
• Cave Creek Consultant PLLC
• Cave Creek Mental Health and Wellness
• Jordan Alexandra Cave, DPT
• Lee Louis Cavellini, OTR/L
• Anne Caveness, DNP, APRN, CPNP-PC
• Hannah L Cavers, NP
• Jason Caviness, RPH
• Graham Cawley, DPT
• Heather R Cawley, LCSW

• General Practice Dentistry in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; 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.