Thomas Trenton Pursley, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D011773 Issued in AZ

Practice address

2901 S 6TH Ave
Tucson, AZ 85713-4706

Phone

(520) 357-0330

NPI assigned

May 19, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• South Tucson Dental Partners LLC

  • General Practice Dentistry
  • Tucson, AZ
  • NPI 1760247092
  NPD

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

{
    "created_epoch": "1684454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1134810021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13057 N LORALEI DR",
            "city": "MARANA",
            "state": "AZ",
            "postal_code": "856531067",
            "telephone_number": "928-651-3110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 S 6TH AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857134706",
            "telephone_number": "520-357-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURSLEY",
        "first_name": "THOMAS",
        "middle_name": "TRENTON",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-19",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D011773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Tuli Puri, MD
• Michael D Purkis, MD
• Purple Starfish Enterprises LLC
• Purpose Healing Center, LLC
• Purpose Healing Center, LLC
• Winola Rachel Purushotham, M.D.
• Robert Purvis
• Shreya Pusapadi Ramkumar
• Pusch Ridge Behavioral Health LLC
• Pusch Ridge Family Medicine, PLLC

• General Practice Dentistry in Tucson, AZ
• Providers in Tucson, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; 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.