Tod Corwin Taysom, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

D011818 Issued in AZ

Practice address

15920 S Rancho Sahuarita Blvd Ste 100
Sahuarita, AZ 85629-8013

Phone

(520) 838-0600

NPI assigned

Jun 8, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dental and Braces Maryvale LLC

  • Health Service Clinic/Center
  • Glendale, AZ
  • NPI 1871058891
  NPD (past)

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

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735948800000",
    "number": "1083308209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7813 S WALNUTVIEW DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857570138",
            "telephone_number": "480-254-8689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15920 S RANCHO SAHUARITA BLVD STE 100",
            "city": "SAHUARITA",
            "state": "AZ",
            "postal_code": "856298013",
            "telephone_number": "520-838-0600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3346 S 6th Ave Ste 192",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857136174",
            "country_code": "US",
            "telephone_number": "520-605-0255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYSOM",
        "first_name": "TOD",
        "middle_name": "CORWIN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-08",
        "last_updated": "2025-01-04",
        "certification_date": "2025-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D011818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Spencer, M.D.
• Jordan Scott Steed, MSW
• Holly Jacobs Stevens
• Sweet Peadiatric Dentistry, PLLC
• Stephanie Tavares
• Telehealth Behavioral Consultation Services LLC
• Timothy L. Templeton, O.D.
• The Arizona Center for Sleep Medicine
• The Oasis Home II LLC
• The Oasis Home LLC

• Dentist in Sahuarita, AZ
• Providers in Sahuarita, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2025; 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.