NPIMap

Organization Active NPI

Tangerine Dental Group, LLP

Doing business as Tangerine Dental Group

  • General Practice Dentistry
  • Oro Valley, AZ
National Provider Identifier
1043459738
Registry record updated Jun 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
TANGERINE DENTAL GROUP, LLP
Doing business as
Tangerine Dental Group
Practice address
1880 East Tangerine Road
Suite 190
Oro Valley, AZ 85755
Phone
(520) 544-5590
Fax
(520) 297-3052
NPI assigned
Feb 19, 2009
Last updated
Jun 21, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2010

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

Authorized official

Name
Dr. Darin S Reagan, DDS
Title
Contracts Administrator
Phone
(520) 544-5590

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

1880 East Tangerine Road
Suite 190
Oro Valley, AZ 85755

Mailing address

2860 Michelle
2ND Floor
Irvine, CA 92606-1009
Phone (714) 368-2077

Other names 1

  • TANGERINE DENTAL GROUP Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2256725Tangerine Dental Group1880 E Tangerine Rd Ste 190, Oro Valley, AZ 85755Certificate of waiverMar 27, 2028

National Provider Directory

National Provider Directory

Locations

1880 E Tangerine Rd
Ste 190
Oro Valley, AZ 85755
Phone (520) 544-5590

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1235001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277078400000",
    "number": "1043459738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 MICHELLE",
            "address_2": "2ND FLOOR",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926061009",
            "telephone_number": "714-368-2077",
            "fax_number": "714-368-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 EAST TANGERINE ROAD",
            "address_2": "SUITE 190",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "85755",
            "telephone_number": "520-544-5590",
            "fax_number": "520-297-3052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANGERINE DENTAL GROUP, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-19",
        "last_updated": "2010-06-21",
        "status": "A",
        "authorized_official_last_name": "REAGAN",
        "authorized_official_first_name": "DARIN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CONTRACTS ADMINISTRATOR",
        "authorized_official_telephone_number": "520-544-5590",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TANGERINE DENTAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oro Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.