Active NPI
HD Tucson Dental LLC
- Dentist
- Tucson, AZ
National Provider Identifier
1033587985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- 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 FRANCHISE
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 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 DirectoryNPI 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.