Active NPI
Lisa A Fogle, DDS
- General Practice Dentistry
- Tucson, AZ
National Provider Identifier
1104882349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3254
- Practice address
- 915 N Swan Rd
Tucson, AZ 85711-1213 - Phone
- (520) 881-1858
- Fax
- (520) 881-2713
- NPI assigned
- Apr 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3254 | AZ | Primary |
Addresses
Primary practice location
915 N Swan Rd
Tucson, AZ 85711-1213
Mailing address
915 N Swan Rd
Tucson, AZ 85711-1213
Phone (520) 881-1858
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0103480 | Other | AZ | BLUE CROSS # |
| 191092 | Other | AR | UNITED CONCORDIA PROVIDER |
| 877350 | Other | AZ | CMDP PROVIDER # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3254 | AZ | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1104882349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "915 N SWAN RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857111213",
"telephone_number": "520-881-1858",
"fax_number": "520-881-2713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 N SWAN RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857111213",
"telephone_number": "520-881-1858",
"fax_number": "520-881-2713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOGLE",
"first_name": "LISA",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-25",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "3254",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS #",
"identifier": "0103480",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA PROVIDER",
"identifier": "191092",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CMDP PROVIDER #",
"identifier": "877350",
"state": "AZ"
}
],
"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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.