Pusch Ridge Dental PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4149 Issued in AZ

Legal business name

PUSCH RIDGE DENTAL PC

Practice address

180 W Magee Rd Ste 158
Oro Valley, AZ 85704-5562

Phone

(520) 742-0830

Fax

(520) 742-3001

NPI assigned

Jan 8, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Michelle A Romero Chavez, DDSNPI 1306904040

Title

Owner

Phone

(520) 742-0830

Specialties & licenses 1

Addresses

Other names 1

• Michelle Romero Chavez DDS Doing business as

Locations

Practitioners 1

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

• Michelle A Romero Chavez

  • Dentist
  • Oro Valley, AZ
  • NPI 1306904040
  NPD (past) Authorized official

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199750400000",
    "number": "1275718256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 W MAGEE RD STE 158",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857045562",
            "telephone_number": "520-742-0830",
            "fax_number": "520-742-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 W MAGEE RD STE 158",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857045562",
            "telephone_number": "520-742-0830",
            "fax_number": "520-742-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUSCH RIDGE DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-08",
        "last_updated": "2008-01-08",
        "status": "A",
        "authorized_official_last_name": "ROMERO CHAVEZ",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-742-0830",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "4149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michelle Romero Chavez DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Blaine Wesley Price, CSFA
• Primary Health-Smmpp, LLC
• Proactive Medical, PLLC
• Progressive Medical Associates, PLLC
• Pusch Ridge Chiropractic
• Christine Michelle Quintana, MA, LPC, CEDS
• Derinda Ann Radjeski, MD
• Hatef Rahim
• Rainbow Behavioral Healthwatch PLLC
• Kayla Elaine Raker

• General Practice Dentistry in Oro Valley, AZ
• Providers in Oro Valley, 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 Jan 8, 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.