Individual provider Active NPI

James Joseph Saoud, D.M.D

  • Dentist
  • Tucson, AZ
National Provider Identifier
1043659139
Registry record updated Sep 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DI02538700 Issued in NJ
Practice address
5577 N Oracle Rd Ste 101
Tucson, AZ 85704-3878
Phone
(520) 777-0616
Fax
(520) 888-3037
NPI assigned
Jun 21, 2013
Last updated
Sep 9, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DI02538700 NJ Primary
General Practice Dentistry 1223G0001X D008863 AZ

Addresses

Primary practice location

5577 N Oracle Rd Ste 101
Tucson, AZ 85704-3878

Mailing address

5400 E Williams Blvd Apt 4305
Tucson, AZ 85711-7464
Phone (520) 777-0616

Other identifiers 1

IdentifierTypeStateIssuer
D008863OtherAZAZ DENTAL LICENSE

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
DI02538700NJMDDentist
D008863AZMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1371772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441756800000",
    "number": "1043659139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 E WILLIAMS BLVD APT 4305",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857117464",
            "telephone_number": "520-777-0616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5577 N ORACLE RD STE 101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857043878",
            "telephone_number": "520-777-0616",
            "fax_number": "520-888-3037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAOUD",
        "first_name": "JAMES",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-21",
        "last_updated": "2015-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "DI02538700",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D008863",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ DENTAL LICENSE",
            "identifier": "D008863",
            "state": "AZ"
        }
    ],
    "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.