Individual provider Active NPI

Stephen Allen Denbrock, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Tucson, AZ
National Provider Identifier
1114979523
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
4612 Issued in AZ
Practice address
6700 N Oracle Rd
Suite 238
Tucson, AZ 85704-7732
Phone
(520) 297-6343
Fax
(520) 297-9003
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 4612 AZ Primary

Addresses

Primary practice location

6700 N Oracle Rd
Suite 238
Tucson, AZ 85704-7732

Mailing address

6700 N Oracle Rd
Suite 238
Tucson, AZ 85704-7732
Phone (520) 297-6343

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160919000468 AZ Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4587755525

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4612AZMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1114979523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 N ORACLE RD",
            "address_2": "SUITE 238",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857047732",
            "telephone_number": "520-297-6343",
            "fax_number": "520-297-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 N ORACLE RD",
            "address_2": "SUITE 238",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857047732",
            "telephone_number": "520-297-6343",
            "fax_number": "520-297-9003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENBROCK",
        "first_name": "STEPHEN",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "AZ",
            "license": "4612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.