NPIMap

Organization Active NPI

Tri-City Express Care, PLLC

  • General Practice Physician
  • Tucson, AZ
National Provider Identifier
1235409012
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
TRI-CITY EXPRESS CARE, PLLC
Practice address
1895 W Valencia Rd Ste 101
Tucson, AZ 85746-6555
Phone
(520) 576-5104
Fax
(520) 807-7711
NPI assigned
Jan 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2020

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

Authorized official

Name
Michael Dunn, MD
Title
Cmo
Phone
(480) 545-2787

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary
Urgent Care Clinic/Center 261QU0200X OTC5304 AZ

Addresses

Primary practice location

1895 W Valencia Rd Ste 101
Tucson, AZ 85746-6555

Mailing address

890 W Elliot Rd
Suite 103
Gilbert, AZ 85233-5102
Phone (480) 545-2787

Other identifiers 1

IdentifierTypeStateIssuer
679515MedicaidAZ

Other names 1

  • FastMed Urgent Care Doing business as

National Provider Directory

National Provider Directory

Locations

1895 W Valencia Rd
Tucson, AZ 85746
Phone (520) 576-5104

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1326153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602633600000",
    "number": "1235409012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 W ELLIOT RD",
            "address_2": "SUITE 103",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852335102",
            "telephone_number": "480-545-2787",
            "fax_number": "480-545-1434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1895 W VALENCIA RD STE 101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857466555",
            "telephone_number": "520-576-5104",
            "fax_number": "520-807-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-CITY EXPRESS CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-10",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "480-545-2787",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "AZ",
            "license": "OTC5304",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "679515",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FastMed Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FastMed Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 14, 2020; 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.