Cortaro Dental Care PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D4718 Issued in AZ

Legal business name

CORTARO DENTAL CARE PC

Practice address

3603 W Cortaro Farms Road
Suite #113
Tucson, AZ 85742-8615

Phone

(520) 572-1593

Fax

(520) 572-0793

NPI assigned

Feb 23, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Margie D Derrick

Title

Office Manager

Phone

(520) 572-1593

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel James Kotke, D.D.S

  • General Practice Dentistry
  • Tucson, AZ
  • NPI 1942516273
  NPD (past)

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282608000000",
    "number": "1144355470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3603 W CORTARO FARMS ROAD",
            "address_2": "SUITE #113",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857428615",
            "telephone_number": "520-572-1593",
            "fax_number": "520-572-0793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3603 W CORTARO FARMS ROAD",
            "address_2": "SUITE #113",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857428615",
            "telephone_number": "520-572-1593",
            "fax_number": "520-572-0793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORTARO DENTAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2010-08-24",
        "status": "A",
        "authorized_official_last_name": "DERRICK",
        "authorized_official_first_name": "MARGIE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "520-572-1593",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D4718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Armando Corrales, CSFA
• Christin Corrales, NURSE PRACTITIONER
• Jonathan Corrales, PHARMD
• Ashley Corrigan
• Renee O Corrigan, P.A.-C.
• Cortaro Smiles and Orthodontics, LLP
• Diana Paloma Cortes, DDS
• Rebecca Lynn Cortes
• Albert Cortese, PHARMD
• Karen Elizabeth Cortese, RN

• 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 Aug 24, 2010; 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.