NPIMap

Organization Active NPI

Catalina Dental PLLC

  • Prosthodontics
  • Tucson, AZ
National Provider Identifier
1164607065
Registry record updated Jan 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
5759 Issued in AZ
Legal business name
CATALINA DENTAL PLLC
Practice address
15601 N Oracle Rd
Tucson, AZ 85739-9171
Phone
(520) 825-9305
Fax
(520) 825-2394
NPI assigned
Jan 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2008

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

Authorized official

Name
Dr. Luis G. Keys, DDS, MSNPI 1447349485
Title
Owner
Phone
(520) 825-9305

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 2219 AZ
ProsthodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0700X 5825 AZ
ProsthodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0700X 5759 AZ Primary

Addresses

Primary practice location

15601 N Oracle Rd
Tucson, AZ 85739-9171

Mailing address

15601 N Oracle Rd
Tucson, AZ 85739-9171
Phone (520) 825-9305

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1199836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199836800000",
    "number": "1164607065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15601 N ORACLE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857399171",
            "telephone_number": "520-825-9305",
            "fax_number": "520-825-2394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15601 N ORACLE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857399171",
            "telephone_number": "520-825-9305",
            "fax_number": "520-825-2394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATALINA DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-09",
        "last_updated": "2008-01-09",
        "status": "A",
        "authorized_official_last_name": "KEYS",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-825-9305",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "2219",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "AZ",
            "license": "5825",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "AZ",
            "license": "5759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; 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.