NPIMap

Organization Active NPI

Tucson Spectrum Dentistry, LLP

Doing business as Tucson Spectrum Dentistry

  • Dentist
  • Tucson, AZ
National Provider Identifier
1336547306
Registry record updated Dec 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
TUCSON SPECTRUM DENTISTRY, LLP
Doing business as
Tucson Spectrum Dentistry
Practice address
5369 S Calle Santa Cruz Ste 105
Tucson, AZ 85706-3963
Phone
(520) 889-3379
Fax
(520) 889-3380
NPI assigned
Dec 8, 2014
Last updated
Dec 16, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2014

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

Authorized official

Name
Dr. Darin S Reagan, DDSNPI 1437162492
Title
Owner Doctor
Phone
(520) 889-3379

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

5369 S Calle Santa Cruz Ste 105
Tucson, AZ 85706-3963

Mailing address

17000 Red Hill Avenue
Irvine, CA 92614
Phone (714) 845-8890

Other names 1

  • Tucson Spectrum Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

5369 S Calle Santa Cruz
Ste 105
Tucson, AZ 85706
Phone (520) 889-3379

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1417996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418688000000",
    "number": "1336547306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 RED HILL AVENUE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "92614",
            "telephone_number": "714-845-8890",
            "fax_number": "949-474-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5369 S CALLE SANTA CRUZ STE 105",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857063963",
            "telephone_number": "520-889-3379",
            "fax_number": "520-889-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUCSON SPECTRUM DENTISTRY, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-08",
        "last_updated": "2014-12-16",
        "status": "A",
        "authorized_official_last_name": "REAGAN",
        "authorized_official_first_name": "DARIN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "520-889-3379",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tucson Spectrum Dentistry",
            "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 Dec 16, 2014; 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.