Active NPI
DHHS-PHS, IHS Tucson Area, IHS Tucson Santa Rosa Clinic
Doing business as Santa Rosa Dental Clinic
- Dental Assistant
- Santa Rosa Village, AZ
National Provider Identifier
1164407870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Assistant
- Legal business name
- DHHS-PHS, IHS TUCSON AREA, IHS TUCSON SANTA ROSA CLINIC
- Doing business as
- Santa Rosa Dental Clinic
- Practice address
- Federal Route 15
Santa Rosa Village, AZ 85634 - Phone
- (520) 383-5570
- Fax
- (520) 383-5572
- NPI assigned
- Dec 14, 2005
- Last updated
- Sep 11, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Kurt Priessman, M.A., M.B.A., C.P.M.
- Title
- Accounting and Budget Officer
- Phone
- (520) 295-2427
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health Dentistry | 1223D0001X | |||
| Pediatric Dentistry | 1223P0221X | |||
| Dental Hygienist | 124Q00000X | |||
| Dental Assistant | 126800000X | Primary |
Addresses
Primary practice location
Federal Route 15
Santa Rosa Village, AZ 85634
Mailing address
7900 S J Stock Rd
Tucson, AZ 85746-7012
Phone (520) 295-2427
Other names 1
- SANTA ROSA DENTAL CLINIC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134518400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1164407870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7900 S J STOCK RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857467012",
"telephone_number": "520-295-2427",
"fax_number": "520-295-2611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "FEDERAL ROUTE 15",
"city": "SANTA ROSA VILLAGE",
"state": "AZ",
"postal_code": "85634",
"telephone_number": "520-383-5570",
"fax_number": "520-383-5572"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DHHS-PHS, IHS TUCSON AREA, IHS TUCSON SANTA ROSA CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-14",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "PRIESSMAN",
"authorized_official_first_name": "KURT",
"authorized_official_title_or_position": "ACCOUNTING AND BUDGET OFFICER",
"authorized_official_telephone_number": "520-295-2427",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.A., M.B.A., C.P.M."
},
"taxonomies": [
{
"code": "1223D0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Dental Public Health",
"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": "124Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dental Hygienist",
"state": null,
"license": null,
"primary": false
},
{
"code": "126800000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dental Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SANTA ROSA DENTAL CLINIC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Santa Rosa Village, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.