Active NPI
John E. Culp, III DMD, PC
Doing business as Jungle Roots Children's Dentistry
- Pediatric Dentistry
- Phoenix, AZ
National Provider Identifier
1972045417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 4457
- Legal business name
- JOHN E. CULP, III DMD, PC
- Doing business as
- Jungle Roots Children's Dentistry
- Practice address
- 4232 E Chandler Blvd
Suite #10
Phoenix, AZ 85048-8879 - Phone
- (480) 759-1119
- Fax
- (480) 759-1180
- NPI assigned
- Nov 15, 2016
- Last updated
- Nov 15, 2016
- 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
- Mary Madoche
- Title
- Practice Manager
- Phone
- (480) 759-1119
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 4457 | AZ | Primary |
Addresses
Primary practice location
4232 E Chandler Blvd
Suite #10
Phoenix, AZ 85048-8879
Mailing address
4232 E Chandler Blvd
Suite #10
Phoenix, AZ 85048-8879
Phone (480) 759-1119
Other names 1
- Jungle Roots Children's Dentistry
National Provider Directory
National Provider Directory- Tax ID family
- John E Culp III DMD PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Jungle Roots Children's Dentistry
- Pediatric Dentistry
- Gilbert, AZ
- NPI 1184167447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479168000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1479168000000",
"number": "1972045417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4232 E CHANDLER BLVD",
"address_2": "SUITE #10",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850488879",
"telephone_number": "480-759-1119",
"fax_number": "480-759-1180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4232 E CHANDLER BLVD",
"address_2": "SUITE #10",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850488879",
"telephone_number": "480-759-1119",
"fax_number": "480-759-1180"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN E. CULP, III DMD, PC",
"organizational_subpart": "NO",
"enumeration_date": "2016-11-15",
"last_updated": "2016-11-15",
"status": "A",
"authorized_official_last_name": "MADOCHE",
"authorized_official_first_name": "MARY",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "480-759-1119"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "AZ",
"license": "4457",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Jungle Roots Children's Dentistry",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Phoenix, AZ
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- John C. Lincoln, LLC (John C. Lincoln Urgent Care at Tatum)
- John C. Lincoln, LLC (dba John C. Lincoln Avista Senior Living North Mountain)
- John C. Lincoln, LLC (Sun Valley Family Medicine)
- John C. Lincoln, LLC (Deer Valley Family Practice at the Beatitudes)
- John F Schaible MD PC
- John M Bracken PC
- John Marshall, M.D., P.L.L.C.
- John N Glover MD LTD
- John N Harman IV DDS BH PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.