Active NPI
Tri-City Express Care, PLLC
- General Practice Physician
- Tucson, AZ
National Provider Identifier
1104196302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- TRI-CITY EXPRESS CARE, PLLC
- Practice address
- 7850 N Silverbell Rd
Suite 132
Tucson, AZ 85743-8219 - Phone
- (520) 407-5884
- Fax
- (520) 744-6556
- NPI assigned
- Jan 4, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Dunn, MD
- Title
- Cmo
- Phone
- (480) 545-2787
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary | ||
| Urgent Care Clinic/Center | 261QU0200X | OTC5286 | AZ |
Addresses
Primary practice location
7850 N Silverbell Rd
Suite 132
Tucson, AZ 85743-8219
Mailing address
890 W Elliot Rd
Suite 103
Gilbert, AZ 85233-5102
Phone (480) 545-2787
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OTC5286 | Other | AZ | STATE LICENSE |
| 679506 | Medicaid | AZ |
Other names 1
- FastMed Urgent Care
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325635200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1369267200000",
"number": "1104196302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "890 W ELLIOT RD",
"address_2": "SUITE 103",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852335102",
"telephone_number": "480-545-2787",
"fax_number": "480-545-1413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7850 N SILVERBELL RD",
"address_2": "SUITE 132",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857438219",
"telephone_number": "520-407-5884",
"fax_number": "520-744-6556"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRI-CITY EXPRESS CARE, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-04",
"last_updated": "2013-05-23",
"status": "A",
"authorized_official_last_name": "DUNN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "CMO",
"authorized_official_telephone_number": "480-545-2787",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": "AZ",
"license": "OTC5286",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "OTC5286",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "679506",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "FastMed Urgent Care",
"code": "3",
"type": "Doing Business As"
}
]
}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 May 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.