Active NPI
Hiram Cervantes
- Dentist
- Tucson, AZ
National Provider Identifier
1316012487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 4239
- Practice address
- 2001 W Orange Grove Rd Ste 206
Tucson, AZ 85704-1140 - Phone
- (520) 797-4551
- NPI assigned
- Nov 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 4239 | AZ | Primary |
Addresses
Primary practice location
2001 W Orange Grove Rd Ste 206
Tucson, AZ 85704-1140
Mailing address
2001 W Orange Grove Rd Ste 206
Tucson, AZ 85704-1140
Phone (520) 797-4551
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4239 | Other | AZ | DENTAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4239 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Sunset Dental | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Tucson, AZ
- NPI 1124232392
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1316012487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 W ORANGE GROVE RD STE 206",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857041140",
"telephone_number": "520-797-4551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 W ORANGE GROVE RD STE 206",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857041140",
"telephone_number": "520-797-4551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CERVANTES",
"first_name": "HIRAM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "4239",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL LICENSE",
"identifier": "4239",
"state": "AZ"
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.