OrganizationActive
San Carlos Apache Healthcare Corporation
NPI 1356790059 · General Practice Dentistry · Peridot, AZ
San Carlos Apache Healthcare Corporation is a General Practice Dentistry organization in Peridot, AZ (NPI 1356790059).
Provider details
- NPI number
- 1356790059
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Parent organization
- San Carlos Apache Healthcare Corporation
- Organization subpart
- Yes
- Authorized official
- Victoria Began, Interim Ceo(928) 475-1200
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
103 Medicine Way Road
Peridot, AZ 85542
Phone: (928) 475-1200
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 787
Peridot, AZ 85542-0787
Registry dates
- Enumerated
- 2016-06-03
- Last updated
- 2016-06-03
Frequently asked questions
- What is San Carlos Apache Healthcare Corporation's NPI number?
- San Carlos Apache Healthcare Corporation's National Provider Identifier (NPI) is 1356790059, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is San Carlos Apache Healthcare Corporation?
- San Carlos Apache Healthcare Corporation is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is San Carlos Apache Healthcare Corporation located?
- San Carlos Apache Healthcare Corporation's practice location on file with NPPES is 103 Medicine Way Road, Peridot, AZ 85542.
- What is San Carlos Apache Healthcare Corporation's phone number?
- The practice phone number listed in the NPPES registry for San Carlos Apache Healthcare Corporation is (928) 475-1200.
- Who is the authorized official for San Carlos Apache Healthcare Corporation?
- The authorized official listed on San Carlos Apache Healthcare Corporation's NPPES record is Victoria Began, Interim Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is San Carlos Apache Healthcare Corporation's NPI active?
- Yes — San Carlos Apache Healthcare Corporation's NPI (1356790059) is active in the NPPES registry as of the last update on 2016-06-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.