Opencare Dental Valencia PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

OPENCARE DENTAL VALENCIA PLLC

Practice address

631 W Valencia Rd
Tucson, AZ 85706-7640

Phone

(520) 812-6736

Fax

(520) 207-5207

NPI assigned

Apr 16, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Berkley Jesse Hall Jr., DMDNPI 1841429354

Title

Owner

Phone

(520) 812-6736

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Berkley Jesse Hall Jr., D.M.D.

  • Dentist
  • Tucson, AZ
  • NPI 1841429354
  NPD Authorized official

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

{
    "created_epoch": "1618531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618531200000",
    "number": "1215518717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 W VALENCIA RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857067640",
            "telephone_number": "520-812-6736",
            "fax_number": "520-207-5207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 W VALENCIA RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857067640",
            "telephone_number": "520-812-6736",
            "fax_number": "520-207-5207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPENCARE DENTAL VALENCIA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-16",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "BERKLEY",
        "authorized_official_middle_name": "JESSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-812-6736",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayse Onweller, LAC
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• Dakota Dair Operle, IDMT
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• Coral Opittek
• Grace Akech Opiyo, NP
• Nathan James Opland, RN, CRNA

• Dental Clinic/Center in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Dental Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2021; 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.