Organization Active NPI

Elahe Wissinger PLLC

  • Dentist
  • Tucson, AZ
National Provider Identifier
1093499857
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
ELAHE WISSINGER PLLC
Practice address
2504 E River Rd # 101
Tucson, AZ 85718-9555
Phone
(520) 745-5496
Fax
(520) 745-5971
NPI assigned
Jun 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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

Authorized official

Name
Jorgia Barfield
Title
Admin Asst
Phone
(520) 745-5496

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

2504 E River Rd # 101
Tucson, AZ 85718-9555

Mailing address

2504 E River Rd # 101
Tucson, AZ 85718-9555
Phone (520) 745-5496

Other names 1

  • E Dental Solutions Other name

National Provider Directory

National Provider Directory

Locations

2504 E River Rd
#101
Tucson, AZ 85718
Phone (520) 745-5496

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": "1686528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686528000000",
    "number": "1093499857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 E RIVER RD # 101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857189555",
            "telephone_number": "520-745-5496",
            "fax_number": "520-745-5971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 E RIVER RD # 101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857189555",
            "telephone_number": "520-745-5496",
            "fax_number": "520-745-5971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELAHE WISSINGER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A",
        "authorized_official_last_name": "BARFIELD",
        "authorized_official_first_name": "JORGIA",
        "authorized_official_title_or_position": "ADMIN ASST",
        "authorized_official_telephone_number": "520-745-5496"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "E Dental Solutions",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jun 12, 2023; 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.