NPIMap

Organization Active NPI

Todd Southall DDS PLLC

  • Dentist
  • Oro Valley, AZ
National Provider Identifier
1164526570
Registry record updated Mar 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D7787 Issued in AZ
Legal business name
TODD SOUTHALL DDS PLLC
Practice address
11381 N Scioto Ave
Oro Valley, AZ 85737-7212
Phone
(520) 404-8393
NPI assigned
Sep 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2016

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

Authorized official

Name
Dr. Todd D Southall, DDSNPI 1952523193
Title
Dentist Owner
Phone
(520) 404-8393

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X D7787 AZ Primary

Addresses

Primary practice location

11381 N Scioto Ave
Oro Valley, AZ 85737-7212

Mailing address

11381 N Scioto Ave
Oro Valley, AZ 85737-7212
Phone (520) 404-8393

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458518400000",
    "number": "1164526570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11381 N SCIOTO AVE",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857377212",
            "telephone_number": "520-404-8393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11381 N SCIOTO AVE",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857377212",
            "telephone_number": "520-404-8393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODD SOUTHALL DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-08",
        "last_updated": "2016-03-21",
        "status": "A",
        "authorized_official_last_name": "SOUTHALL",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "520-404-8393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D7787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oro Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2016; 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.