Cullimore Family Dentistry, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4668 Issued in AZ

Legal business name

CULLIMORE FAMILY DENTISTRY, PLLC

Practice address

2038 N Recker Rd
Mesa, AZ 85215-2744

Phone

(480) 985-2978

NPI assigned

Nov 12, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Randy Scott Cullimore, D.D.S.NPI 1588785075

Title

Manager

Phone

(480) 985-2978

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Randy Scott Cullimore, DDS

  • General Practice Dentistry
  • Chandler, AZ
  • NPI 1588785075
  NPD (past) Authorized official
• Travis R. Cullimore, D.D.S.

  • General Practice Dentistry
  • Chandler, AZ
  • NPI 1598886095
  NPD (past)

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

{
    "created_epoch": "1226448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226448000000",
    "number": "1952555369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2038 N RECKER RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852152744",
            "telephone_number": "480-985-2978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2038 N RECKER RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852152744",
            "telephone_number": "480-985-2978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CULLIMORE FAMILY DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-12",
        "last_updated": "2008-11-12",
        "status": "A",
        "authorized_official_last_name": "CULLIMORE",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "480-985-2978",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "4668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorraine Sophia Cuesta, ANP-C
• Katrina Renee Cuevas
• Daniel Cugudda
• Jennifer Lee Culbert, NP
• Kayla Brooke Cullen, OTR,L
• Alyssa Culp
• Carol M Culp
• Mary Cummins, P.T.
• Jada Cunningham
• Kimberly Laura Cunningham, O.D.

• General Practice Dentistry in Mesa, AZ
• Providers in Mesa, 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 Nov 12, 2008; 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.