NPIMap

Organization Active NPI

Ronald G Deriana DDS PLLC

  • Dental Clinic/Center
  • Tucson, AZ
National Provider Identifier
1043685357
Registry record updated Dec 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DO3161 Issued in AZ
Legal business name
RONALD G DERIANA DDS PLLC
Practice address
1607 W Ina Rd
Tucson, AZ 85704-1979
Phone
(520) 742-2167
Fax
(520) 742-2160
NPI assigned
Dec 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2015

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

Authorized official

Name
Dr. Ronald George Deriana, DDSNPI 1811902471
Title
Member/Dentist
Phone
(520) 742-2167

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DO3161 AZ Primary

Addresses

Primary practice location

1607 W Ina Rd
Tucson, AZ 85704-1979

Mailing address

1607 W Ina Rd
Tucson, AZ 85704-1979
Phone (520) 742-2167

National Provider Directory

National Provider Directory

Locations

1607 W Ina Rd
Tucson, AZ 85704
Phone (520) 742-2167

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1449792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449792000000",
    "number": "1043685357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 W INA RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857041979",
            "telephone_number": "520-742-2167",
            "fax_number": "520-742-2160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 W INA RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857041979",
            "telephone_number": "520-742-2167",
            "fax_number": "520-742-2160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD G DERIANA DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-11",
        "last_updated": "2015-12-11",
        "status": "A",
        "authorized_official_last_name": "DERIANA",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "MEMBER/DENTIST",
        "authorized_official_telephone_number": "520-742-2167",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AZ",
            "license": "DO3161",
            "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 Dec 11, 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.