Organization Active NPI

Adam R. Pershing

  • General Practice Dentistry
  • Tucson, AZ
National Provider Identifier
1013167113
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7177 Issued in AZ
Legal business name
ADAM R. PERSHING
Practice address
2300 N Craycroft Rd Ste 4
Tucson, AZ 85712-2808
Phone
(520) 722-2992
Fax
(520) 722-2993
NPI assigned
Sep 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Adam Ryan Pershing, D.M.D.NPI 1275525347
Title
Dentist/Sole Member of PLLC
Phone
(520) 722-2992

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 7177 AZ Primary

Addresses

Primary practice location

2300 N Craycroft Rd Ste 4
Tucson, AZ 85712-2808

Mailing address

2300 N Craycroft Rd Ste 4
Tucson, AZ 85712-2808
Phone (520) 722-2992

National Provider Directory

National Provider Directory

Locations

2300 N Craycroft Rd
Ste 4
Tucson, AZ 85712
Phone (520) 722-2992

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1222300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1013167113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 N CRAYCROFT RD STE 4",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122808",
            "telephone_number": "520-722-2992",
            "fax_number": "520-722-2993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 N CRAYCROFT RD STE 4",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122808",
            "telephone_number": "520-722-2992",
            "fax_number": "520-722-2993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAM R. PERSHING",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-25",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "PERSHING",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "DENTIST/SOLE MEMBER OF PLLC",
        "authorized_official_telephone_number": "520-722-2992",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "7177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.