Individual provider Active NPI

Jennifer Vyas, D.D.S.

  • General Practice Dentistry
  • Tucson, AZ
National Provider Identifier
1033390711
Registry record updated Jun 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D 7406 Issued in AZ
Practice address
2102 N Country Club Rd
Ste. a
Tucson, AZ 85716-2831
Phone
(520) 323-1400
NPI assigned
Nov 21, 2007
Last updated
Jun 12, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D 7406 AZ Primary

Addresses

Primary practice location

2102 N Country Club Rd
Ste. a
Tucson, AZ 85716-2831

Mailing address

8151 E Indian Bend Rd
Suite 111
Scottsdale, AZ 85250-4826
Phone (480) 607-9999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D 7406AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
General Dentistry 4 Kids-Tucson, PLLC General Practice PastSince Oct 21, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434067200000",
    "number": "1033390711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8151 E INDIAN BEND RD",
            "address_2": "SUITE 111",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852504826",
            "telephone_number": "480-607-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2102 N COUNTRY CLUB RD",
            "address_2": "STE. A",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857162831",
            "telephone_number": "520-323-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VYAS",
        "first_name": "JENNIFER",
        "name_prefix": "Ms.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-21",
        "last_updated": "2015-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D 7406",
            "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 Jun 12, 2015; 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.