Active NPI
Ryan M Tuinstra, DDS
- Dentist
- Flagstaff, AZ
National Provider Identifier
1144744533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D009814
- Practice address
- 750 N Kendrick St Ste 100
Flagstaff, AZ 86001-3067 - Phone
- (928) 774-2500
- NPI assigned
- Jul 28, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D009814 | AZ | Primary |
Addresses
Primary practice location
750 N Kendrick St Ste 100
Flagstaff, AZ 86001-3067
Mailing address
2912 N Creekside Dr
Flagstaff, AZ 86001-3805
Phone (480) 241-9742
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D009814 | AZ | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501200000000",
"number": "1144744533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2912 N CREEKSIDE DR",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860013805",
"telephone_number": "480-241-9742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 N KENDRICK ST STE 100",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860013067",
"telephone_number": "928-774-2500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUINSTRA",
"first_name": "RYAN",
"middle_name": "M",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-07-28",
"last_updated": "2017-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "D009814",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flagstaff, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.