NPIMap

Organization Active NPI

Jennifer Spera DDS PLLC

  • General Practice Dentistry
  • Tucson, AZ
National Provider Identifier
1114200417
Registry record updated Sep 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8033 Issued in AZ
Legal business name
JENNIFER SPERA DDS PLLC
Practice address
5190 E Farness Dr Ste 102
Tucson, AZ 85712-2142
Phone
(520) 323-3241
NPI assigned
Sep 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2011

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

Authorized official

Name
Jennifer SperaNPI 1669787065
Title
Owner
Phone
(520) 241-8438

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 8033 AZ Primary

Addresses

Primary practice location

5190 E Farness Dr Ste 102
Tucson, AZ 85712-2142

Mailing address

5190 E Farness Dr Ste 102
Tucson, AZ 85712-2142
Phone (520) 323-3241

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1316649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316649600000",
    "number": "1114200417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5190 E FARNESS DR STE 102",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122142",
            "telephone_number": "520-323-3241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5190 E FARNESS DR STE 102",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122142",
            "telephone_number": "520-323-3241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER SPERA DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-22",
        "last_updated": "2011-09-22",
        "status": "A",
        "authorized_official_last_name": "SPERA",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-241-8438"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "8033",
            "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 Sep 22, 2011; 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.