NPIMap

Organization Active NPI

Casas Adobes Oms PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Tucson, AZ
National Provider Identifier
1114125267
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
CASAS ADOBES OMS PLLC
Practice address
3150 N Swan
Tucson, AZ 85712
Phone
(520) 745-6531
Fax
(520) 790-3817
NPI assigned
Jul 10, 2007
Last updated
Apr 13, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2021

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

Authorized official

Name
Joanie De Maine
Title
Credentialing Specialist
Phone
(520) 745-6531

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X Primary
Oral & Maxillofacial Surgery (D.M.D.)Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 204E00000X 2774 AZ
Oral & Maxillofacial Surgery (D.M.D.)Group: 193200000X MULTI-SPECIALTY GROUP 204E00000X

Addresses

Primary practice location

3150 N Swan
Tucson, AZ 85712

Mailing address

3150 N Swan Road
Tucson, AZ 85712
Phone (520) 745-6531

Other practice location 1

2151 S. Highway 92 Suite 116
Sierra Vista, AZ 85635
Phone (520) 459-6219

Other practice location 2

6471 N La Cholla Blvd
Tucson, AZ 85741-3141
Phone (520) 742-6136

Other practice location 3

8280 S Houghton Rd Ste 120
Tucson, AZ 85747-9702
Phone (520) 742-6136

Other practice location 4

6471 N La Cholla Blvd
Tucson, AZ 85741-3141
Phone (520) 742-6136

Other practice location 5

8280 S Houghton Rd Ste 120
Tucson, AZ 85747-9702
Phone (520) 742-6136

National Provider Directory

National Provider Directory

Locations

2151 S Highway 92
Sierra Vista, AZ 85635
Phone (520) 335-1615

2151 S Highway 92
Ste 116
Sierra Vista, AZ 85635
Phone (520) 459-6219

3150 N Swan Rd
Tucson, AZ 85712
Phone (520) 742-6136

6471 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 742-6136

801 N Wilmot Rd
Ste E2
Tucson, AZ 85711
Phone (520) 745-6531

8280 S Houghton Rd
Ste 120
Tucson, AZ 85747
Phone (520) 742-6136

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618272000000",
    "number": "1114125267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 N SWAN ROAD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85712",
            "telephone_number": "520-745-6531",
            "fax_number": "520-790-3817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 N SWAN",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85712",
            "telephone_number": "520-745-6531",
            "fax_number": "520-790-3817"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2151 S. Highway 92 Suite 116",
            "address_purpose": "LOCATION",
            "city": "Sierra Vista",
            "state": "AZ",
            "postal_code": "85635",
            "country_code": "US",
            "telephone_number": "520-459-6219",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6471 N La Cholla Blvd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857413141",
            "country_code": "US",
            "telephone_number": "520-742-6136",
            "fax_number": "520-742-5721",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8280 S Houghton Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857479702",
            "country_code": "US",
            "telephone_number": "520-742-6136",
            "fax_number": "520-790-1807",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6471 N La Cholla Blvd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857413141",
            "country_code": "US",
            "telephone_number": "520-742-6136",
            "fax_number": "520-742-5721",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8280 S Houghton Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857479702",
            "country_code": "US",
            "telephone_number": "520-742-6136",
            "fax_number": "520-790-1807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CASAS ADOBES OMS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A",
        "authorized_official_last_name": "DE MAINE",
        "authorized_official_first_name": "JOANIE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "520-745-6531"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "AZ",
            "license": "2774",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Apr 13, 2021; 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.