Aeris Family Dental Rita Ranch

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D6558 Issued in AZ

Legal business name

AERIS FAMILY DENTAL RITA RANCH

Practice address

10410 E Rita Ranch Rd
Tucson, AZ 85747-9035

Phone

(520) 777-6001

NPI assigned

Feb 3, 2011

Organization subpart

No

Name

Lan Allen, DMDNPI 1205975299

Title

Manager

Phone

(520) 777-6001

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

• Lan Allen, D.M.D

  • General Practice Dentistry
  • Tucson, AZ
  • NPI 1205975299

  General Practice

  NPD Authorized official
• Jonathan Vinson Frost, DDS

  • General Practice Dentistry
  • Glendale, AZ
  • NPI 1831628726

  General Practice

  NPD (past)

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 23, 2023.

{
    "created_epoch": "1296691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674432000000",
    "number": "1154627404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10410 E RITA RANCH RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857479035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10410 E RITA RANCH RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857479035",
            "telephone_number": "520-777-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AERIS FAMILY DENTAL RITA RANCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-03",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "LAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "520-777-6001",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D6558",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Aep Health
• Aeris Dental Downtown LLC
• Aeris Family Dental Pantano
• Aesthetic Surgery of Tucson, Inc.
• Affinity Counseling Center LLC
• Affinity Hospice Care Inc
• Affordable Dentures - Tucson, P.C.
• Affordable Dentures & Implants - North Tucson II, P.C.

• All providers in Tucson, AZ
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.