Organization Active NPI

Thornydale Dental, P.C.

  • General Practice Dentistry
  • Tucson, AZ
National Provider Identifier
1093996639
Registry record updated Nov 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4953 Issued in AZ
Legal business name
THORNYDALE DENTAL, P.C.
Practice address
8300 N Thornydale Rd
Suite #116
Tucson, AZ 85741-1167
Phone
(520) 744-5150
Fax
(520) 744-5322
NPI assigned
Nov 26, 2007
Last updated
Nov 26, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2007

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

Authorized official

Name
Dr. Radd William Lukas, D.D.S.NPI 1831129428
Title
Owner/Dentist
Phone
(520) 744-5150

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4953 AZ Primary

Addresses

Primary practice location

8300 N Thornydale Rd
Suite #116
Tucson, AZ 85741-1167

Mailing address

8300 N Thornydale Rd
Suite #116
Tucson, AZ 85741-1167
Phone (520) 744-5150

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196035200000",
    "number": "1093996639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 N THORNYDALE RD",
            "address_2": "SUITE #116",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857411167",
            "telephone_number": "520-744-5150",
            "fax_number": "520-744-5322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 N THORNYDALE RD",
            "address_2": "SUITE #116",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857411167",
            "telephone_number": "520-744-5150",
            "fax_number": "520-744-5322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THORNYDALE DENTAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-26",
        "last_updated": "2007-11-26",
        "status": "A",
        "authorized_official_last_name": "LUKAS",
        "authorized_official_first_name": "RADD",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "520-744-5150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "4953",
            "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 Nov 26, 2007; 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.