BRADSHAW FAMILY DENTAL
NPI 1861855884
Preferred Provider Organization in Prescott Valley, AZ

Active since March 29, 2016
7136 PAV WAY, PRESCOTT VALLEY, AZ 86314(928) 775-9495(928) 775-9497 Get Directions Write a Review

NPPES record last updated: March 29, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bradshaw Family Dental NPPES

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

BRADSHAW FAMILY DENTAL (NPI 1861855884) is a healthcare organization registered as a preferred provider organization in Prescott Valley, Arizona and active in the NPI registry since March 2016. The organization lists David Frausto, Owner, as its authorized official.

NPPES Registry Identity

NPI1861855884
Entity TypeOrganization
Primary Taxonomy305R00000X
Legal Business NameBRADSHAW MOUNTAIN FAMILY DENTAL
Location Address7136 PAV WAYPrescott Valley, AZ 86314-2264
Mailing Address7136 Pav WayPrescott Valley, AZ 86314-2264 · (928) 775-9495 · Fax (928) 775-9497
Fax(928) 775-9497
Organization SubpartNo
Authorized OfficialDavid FraustoOwner · (928) 775-9495
Enumeration DateMarch 29, 2016
NPI 1861855884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
7136 PAV WAY, Prescott Valley, AZ 86314

Other Names 1

Doing Business AsBradshaw Family Dental

Other Identifiers 1

Medicaid722183AZ

Other Providers at the Same Location NPPES 5

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

Dentist
7136 PAV WAY
PRESCOTT VALLEY, AZ 86314
Dentist
7136 PAV WAY
PRESCOTT VALLEY, AZ 86314
Dentist (General Practice)
7136 PAV WAY
PRESCOTT VALLEY, AZ 86314
Dentist (General Practice)
7136 PAV WAY
PRESCOTT VALLEY, AZ 86314
Clinic/Center (Dental)
7136 PAV WAY
PRESCOTT VALLEY, AZ 86314

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 Bradshaw Mountain Family Dental's NPI number?

The NPI number for Bradshaw Mountain Family Dental is 1861855884. It was assigned to this organization in the NPPES registry on March 29, 2016. The provider is doing business as Bradshaw Family Dental.

Where is Bradshaw Mountain Family Dental located?

Bradshaw Mountain Family Dental is located at 7136 Pav Way, Prescott Valley, AZ 86314. The listed phone number is (928) 775-9495.

What is Bradshaw Mountain Family Dental's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

When was this NPI record last updated?

The NPPES record for Bradshaw Mountain Family Dental was last updated on March 29, 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.