Docs Arizona, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DOCS ARIZONA, P.C.

Doing business as

DOCS Dental Davis-Monthan AFB

Practice address

5405 E Granite St BLDG 2527
Tucson, AZ 85707-3004

Phone

(267) 927-5000

NPI assigned

Oct 21, 2021

Organization subpart

Yes

Parent organization

DOCS ARIZONA, PCAs reported in NPPES

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

Authorized official

Name

Amanda Anne Clark

Title

Director of Credentialing

Phone

(267) 362-5938

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• DOCS Dental Davis-Monthan AFB Doing business as

Electronic endpoints 1

Tax ID family

Docs Arizona PC2 organizations share this tax ID, including this one

Part of

Docs Arizona PC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Docs Arizona, P.C.

  • Dentist
  • Pipersville, PA
  • NPI 1093362808
  NPD tax ID

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

{
    "created_epoch": "1634774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634774400000",
    "number": "1265195614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 VINEWOOD DR",
            "city": "SEFFNER",
            "state": "FL",
            "postal_code": "335844829",
            "telephone_number": "813-451-4503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5405 E GRANITE ST BLDG 2527",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857073004",
            "telephone_number": "267-927-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCS ARIZONA, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DOCS ARIZONA, PC",
        "enumeration_date": "2021-10-21",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
        "authorized_official_telephone_number": "267-362-5938"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LC LIC#",
            "identifier": "D010291",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "davis-monthaninfo@docs.health",
            "affiliation": "N",
            "address_1": "5405 E Granite St Bldg 2527",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857073004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "DOCS Dental Davis-Monthan AFB",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathy Leigh Dober
• Marvin Dobkin, DPM
• Katrina Dobson
• Brittany Danielle Dock
• Becky Dockins, AP
• Doctor S Group Inc
• Jonathan Doctor
• William A Doctorman, PA
• Laurie Rose Dodd
• Trevor Dodd, DPT

• General Practice Dentistry in Tucson, AZ
• Providers in Tucson, AZ by specialty
• General Practice Dentistry in Arizona

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