Organization Active NPI

Cactus Family Dentistry

  • General Practice Dentistry
  • Phoenix, AZ
National Provider Identifier
1962525618
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CACTUS FAMILY DENTISTRY
Practice address
3440 W Cactus Rd
Phoenix, AZ 85029-2238
Phone
(602) 942-2880
NPI assigned
Apr 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Loiuis Core, DDS
Title
President
Phone
(602) 942-2880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3440 W Cactus Rd
Phoenix, AZ 85029-2238

Mailing address

3440 W Cactus Rd
Phoenix, AZ 85029-2238

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962525618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 W CACTUS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850292238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 W CACTUS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850292238",
            "telephone_number": "602-942-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CACTUS FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CORE",
        "authorized_official_first_name": "LOIUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-942-2880",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, 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.

Verify at the official NPI Registry.