Individual provider Active NPI

Sara Nicole Coutts, DMD

  • Dentist
  • Green Valley, AZ
National Provider Identifier
1316334477
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D009665 Issued in AZ
Practice address
1260 S Campbell Ave BLDG 2
Green Valley, AZ 85614-0503
Phone
(520) 407-5607
NPI assigned
Apr 16, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D009665 AZ Primary

Addresses

Primary practice location

1260 S Campbell Ave BLDG 2
Green Valley, AZ 85614-0503

Mailing address

1260 S Campbell Ave BLDG 2
Green Valley, AZ 85614-0503

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230925002513 AZ Practitioner - Dentist 0446604433 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
United Community Health Center - Maria Auxiliadora, Inc. Current Accepting new patients
Marana Health Center Inc CurrentSince Apr 22, 2024 Accepting new patients
Marana Health Center, Inc Dentist CurrentSince Apr 22, 2024 Accepting new patients

Locations

1260 S Campbell Ave
Bldg 1
Green Valley, AZ 85614
Phone (520) 407-5400

1260 S Campbell Ave
Bldg 2
Green Valley, AZ 85614
Phone (520) 407-5400

13395 N Marana Main St
Marana, AZ 85653
Phone (520) 616-6200

2945 W Ina Rd
Ste 215
Tucson, AZ 85741

899 N Wilmot Rd
Bldg E
Tucson, AZ 85711
Phone (520) 616-1542

3690 S Park Ave
Ste 805
Tucson, AZ 85713
Phone (520) 616-1560

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1316334477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 S CAMPBELL AVE BLDG 2",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856140503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 S CAMPBELL AVE BLDG 2",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856140503",
            "telephone_number": "520-407-5607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUTTS",
        "first_name": "SARA",
        "middle_name": "NICOLE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-16",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D009665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Valley, AZ

Sources for this page

Verify at the official NPI Registry.