NPIMap

Organization Active NPI

Az Dental Medicine LLC

  • Dental Clinic/Center
  • Tucson, AZ
National Provider Identifier
1033783444
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
AZ DENTAL MEDICINE LLC
Practice address
6596 N Oracle Rd
Tucson, AZ 85704-5615
Phone
(520) 297-9069
Fax
(520) 575-9600
NPI assigned
May 19, 2021
Last updated
May 19, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2021

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

Authorized official

Name
Tim Alexander
Title
Owner
Phone
(520) 297-9069

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

6596 N Oracle Rd
Tucson, AZ 85704-5615

Mailing address

6596 N Oracle Rd
Tucson, AZ 85704-5615
Phone (520) 297-9069

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621382400000",
    "number": "1033783444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6596 N ORACLE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857045615",
            "telephone_number": "520-297-9069",
            "fax_number": "520-575-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6596 N ORACLE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857045615",
            "telephone_number": "520-297-9069",
            "fax_number": "520-575-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZ DENTAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-19",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-297-9069"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "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 May 19, 2021; 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.