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DYNAMITE CREEK MEDICAL CENTER
NPI 1346282076
Family Medicine in Cave Creek, AZ

Active since June 10, 2006CLIA 03D0964580 · Waiver
4712 E DYNAMITE BLVD, CAVE CREEK, AZ 85331(480) 342-8711(480) 342-7077 Get Directions Write a Review

NPPES record last updated: September 17, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 17, 2020, Feb 2, 2019 (2 updates tracked since 2019).

About Dynamite Creek Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DYNAMITE CREEK MEDICAL CENTER (NPI 1346282076) is a healthcare organization registered as a family medicine in Cave Creek, Arizona and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through February 19, 2028 and lists Savas Petrides, Svp/ceo, as its authorized official.

NPPES Registry Identity

NPI1346282076
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameHONORHEALTH MEDICAL GROUP, LLC
Location Address4712 E DYNAMITE BLVDCave Creek, AZ 85331-6243
Mailing Address2500 W Utopia Rd Ste 100Phoenix, AZ 85027-4172 · (480) 587-5314
Phone(480) 342-8711
Fax(480) 342-7077
Organization SubpartNo
Authorized OfficialSavas PetridesSvp/ceo · (480) 696-4020
Enumeration DateJune 10, 2006
Last NPPES UpdateSeptember 17, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2020
✔ NPI 1346282076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AZ · GROUP NPI
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4712 E DYNAMITE BLVD, Cave Creek, AZ 85331
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Other Names 2

Doing Business AsDynamite Creek Medical Center
Former Legal Business NameJohn C Lincoln Llc

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D0964580

Honorhealth Medical Group Dynamite · Cave Creek, AZ
Active · expires Feb 19, 2028
CLIA Number03D0964580
Laboratory TypePhysician Office
Certificate Effective DateFebruary 20, 2026
Certificate Expiration DateFebruary 19, 2028
Laboratory DirectorJared Berkowitz
Laboratory Phone(480) 342-8711
Laboratory LocationHonorhealth Medical Group Dynamite4712 E Dynamite Blvd, Cave Creek, AZ 85331
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THERESE G ARGYROS FNP
Nurse Practitioner (Family)
4712 E DYNAMITE BLVD
CAVE CREEK, AZ 85331
Maricopa County (480) 342-8711
DR. CHAD ANTHONY LEEP M.D.
Family Medicine
4712 E DYNAMITE BLVD
CAVE CREEK, AZ 85331
Maricopa County (480) 342-8711
SCOTT C. WATERS DO
Family Medicine
4712 E DYNAMITE BLVD
CAVE CREEK, AZ 85331
Maricopa County (480) 342-8711
DR. JUSTIN W WIGHT M.D.
Family Medicine
4712 E DYNAMITE BLVD
CAVE CREEK, AZ 85331
Maricopa County (480) 342-8711
KIM L MILLER MD
Family Medicine
4712 E DYNAMITE BLVD
CAVE CREEK, AZ 85331
Maricopa County (480) 342-8711
DR. C. DANIEL MURPHY M.D.
Family Medicine
4712 E DYNAMITE BLVD
CAVE CREEK, AZ 85331
Maricopa County (480) 342-8711
KRISTEN KATHLEEN ASH RN
Nurse Practitioner
4712 E DYNAMITE BLVD
CAVE CREEK, AZ 85331
Maricopa County (480) 342-8711

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Honorhealth Medical Group, LLC's NPI number?

The NPI number for Honorhealth Medical Group, LLC is 1346282076. It was assigned to this organization in the NPPES registry on June 10, 2006. The provider is doing business as Dynamite Creek Medical Center. The provider was formerly known as John C Lincoln LLC.

Where is Honorhealth Medical Group, LLC located?

Honorhealth Medical Group, LLC is located at 4712 E Dynamite Blvd, Cave Creek, AZ 85331. The listed phone number is (480) 342-8711.

What is Honorhealth Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Honorhealth Medical Group, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D0964580) is associated with this NPI, valid through February 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Honorhealth Medical Group, LLC was last updated on September 17, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.