Individual provider Active NPI

Bart Allen Stears, D.D.S

  • Dentist
  • Tucson, AZ
National Provider Identifier
1144668732
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7286 Issued in OK
Practice address
9660 E 22ND St
Suite 160
Tucson, AZ 85748-7561
Phone
(520) 917-0666
NPI assigned
Jun 5, 2013
Last updated
Mar 16, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D008718 AZ
Dentist 122300000X 7286 OK Primary

Addresses

Primary practice location

9660 E 22ND St
Suite 160
Tucson, AZ 85748-7561

Mailing address

1060 S Harrison Rd Ste 110
Tucson, AZ 85748-6603
Phone (208) 569-3599

Other practice location 1

740 SW 19th St Ste C
Moore, OK 73160-3062
Phone (208) 569-3599

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
I20150807014581 AZ Order and Referring Only - DentistPractitioner - Dentist 9638483357

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D008718AZMDDentist
7286OKMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Spanish Trail Dental Group, LLP General Practice CurrentSince Apr 17, 2022 Accepting new patients
Miramonte Dental Group, LLP General Practice Past Accepting new patients

Locations

1060 S Harrison Rd
Ste 110
Tucson, AZ 85748
Phone (520) 917-0666

9660 E 22nd St
Ste 160
Tucson, AZ 85748
Phone (520) 719-0666

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1370390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1144668732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 S HARRISON RD STE 110",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857486603",
            "telephone_number": "208-569-3599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9660 E 22ND ST",
            "address_2": "SUITE 160",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857487561",
            "telephone_number": "520-917-0666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "740 SW 19th St Ste C",
            "address_purpose": "LOCATION",
            "city": "Moore",
            "state": "OK",
            "postal_code": "731603062",
            "country_code": "US",
            "telephone_number": "208-569-3599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEARS",
        "first_name": "BART",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-05",
        "last_updated": "2021-03-16",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D008718",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "7286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.