NPIMap

Organization Active NPI

Perfect Teeth / Abc P.C.

  • Dentist
  • Tucson, AZ
National Provider Identifier
1225365703
Registry record updated Nov 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4638 Issued in AZ
Legal business name
PERFECT TEETH / ABC P.C.
Practice address
123 S Stone Ave
Tucson, AZ 85701-1914
Phone
(520) 798-3384
Fax
(520) 791-9311
NPI assigned
Nov 4, 2009
Last updated
Nov 4, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2009

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

Authorized official

Name
Ms. Laurie Summers
Title
Credentilaing Specialist
Phone
(303) 285-6098

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 4638 AZ Primary

Addresses

Primary practice location

123 S Stone Ave
Tucson, AZ 85701-1914

Mailing address

123 S Stone Ave
Tucson, AZ 85701-1914
Phone (520) 798-3384

National Provider Directory

National Provider Directory

Locations

123 S Stone Ave
Tucson, AZ 85701
Phone (520) 798-3384

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1257292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257292800000",
    "number": "1225365703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 S STONE AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857011914",
            "telephone_number": "520-798-3384",
            "fax_number": "520-791-9311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 S STONE AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857011914",
            "telephone_number": "520-798-3384",
            "fax_number": "520-791-9311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFECT TEETH / ABC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-04",
        "last_updated": "2009-11-04",
        "status": "A",
        "authorized_official_last_name": "SUMMERS",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "CREDENTILAING SPECIALIST",
        "authorized_official_telephone_number": "303-285-6098",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "4638",
            "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 Nov 4, 2009; 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.