Organization Active NPI

HD Tucson Dental LLC

  • Dentist
  • Tucson, AZ
National Provider Identifier
1033587985
Registry record updated Sep 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
HD TUCSON DENTAL LLC
Practice address
5577 N Oracle Rd
Suite 101
Tucson, AZ 85704-3877
Phone
(520) 777-0616
NPI assigned
Sep 9, 2015
Organization subpart
Yes
Parent organization
HALF DENTAL FRANCHISEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 9, 2015

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

Authorized official

Name
Mr. Perry Todd Myers
Title
VP of Practice Start Up
Phone
(435) 714-6555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

5577 N Oracle Rd
Suite 101
Tucson, AZ 85704-3877

Mailing address

5577 N Oracle Rd
Suite 101
Tucson, AZ 85704-3877
Phone (520) 777-0616

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441756800000",
    "number": "1033587985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5577 N ORACLE RD",
            "address_2": "SUITE 101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857043877",
            "telephone_number": "520-777-0616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5577 N ORACLE RD",
            "address_2": "SUITE 101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857043877",
            "telephone_number": "520-777-0616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HD TUCSON DENTAL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HALF DENTAL FRANCHISE",
        "enumeration_date": "2015-09-09",
        "last_updated": "2015-09-09",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "PERRY",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "VP OF PRACTICE START UP",
        "authorized_official_telephone_number": "435-714-6555",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "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 Sep 9, 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.