SAN CARLOS APACHE HEALTHCARE CORPORATION
NPI 1356790059
Dentist - General Practice in Peridot, AZ

Active since June 03, 2016
103 MEDICINE WAY ROAD, PERIDOT, AZ 85542(928) 475-1200 Get Directions Write a Review

NPPES record last updated: June 3, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About San Carlos Apache Healthcare Corporation NPPES

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

SAN CARLOS APACHE HEALTHCARE CORPORATION (NPI 1356790059) is a healthcare organization registered as a general practice in Peridot, Arizona and active in the NPI registry since June 2016. The organization lists Victoria Began, Interim Ceo, as its authorized official.

NPPES Registry Identity

NPI1356790059
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSAN CARLOS APACHE HEALTHCARE CORPORATION
Location Address103 MEDICINE WAY ROADPeridot, AZ 85542
Mailing AddressPo Box 787Peridot, AZ 85542-0787
Organization SubpartYes
Authorized OfficialVictoria BeganInterim Ceo · (928) 475-1200
Enumeration DateJune 3, 2016
NPI 1356790059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
103 MEDICINE WAY ROAD, Peridot, AZ 85542

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

Other Providers at the Same Location NPPES 17

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

Pharmacist
103 MEDICINE WAY ROAD
PERIDOT, AZ 85542
Nurse Practitioner (Family)
103 MEDICINE WAY ROAD
PERIDOT, AZ 85542
Clinic/Center (Critical Access Hospital)
103 MEDICINE WAY ROAD
PERIDOT, AZ 85542
Dietitian, Registered
103 MEDICINE WAY ROAD
PERIDOT, AZ 85542
Dentist
103 MEDICINE WAY ROAD
PERIDOT, AZ 85542
Nurse Practitioner (Family)
103 MEDICINE WAY ROAD
PERIDOT, AZ 85542
Physical Therapist
103 MEDICINE WAY ROAD
PERIDOT, AZ 85542
Nurse Practitioner (Family)
103 MEDICINE WAY ROAD
PERIDOT, AZ 85542

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 San Carlos Apache Healthcare Corporation's NPI number?

The NPI number for San Carlos Apache Healthcare Corporation is 1356790059. It was assigned to this organization in the NPPES registry on June 3, 2016.

Where is San Carlos Apache Healthcare Corporation located?

San Carlos Apache Healthcare Corporation is located at 103 Medicine Way Road, Peridot, AZ 85542. The listed phone number is (928) 475-1200.

What is San Carlos Apache Healthcare Corporation's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for San Carlos Apache Healthcare Corporation was last updated on June 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.