Individual provider Active NPI

Ronald C. Quintia, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Tucson, AZ
National Provider Identifier
1356376297
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
D3539 Issued in AZ
Practice address
6369 E Tanque Verde Rd
Suite 230
Tucson, AZ 85715-3850
Phone
(520) 290-6800
Fax
(520) 290-2270
NPI assigned
Jul 11, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X D3539 AZ Primary

Addresses

Primary practice location

6369 E Tanque Verde Rd
Suite 230
Tucson, AZ 85715-3850

Mailing address

6369 E Tanque Verde Rd
Suite 230
Tucson, AZ 85715-3850
Phone (520) 290-6800

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051209000399 AZ Practitioner - Maxillofacial Surgery 2062433790 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Maxillofacial Surgery
Education
University of Colorado School of Dentistry, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6369 E Tanque Verde Rd
Suite 230
Tucson, AZ 85715-3834
Phone (520) 290-6800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D3539AZMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Arizona Oral & Maxillofacial Surgery, P.C. CurrentSince Sep 6, 2012 Accepting new patients

Locations

6369 E Tanque Verde Rd
Ste 230
Tucson, AZ 85715
Phone (520) 290-6800

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356376297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6369 E TANQUE VERDE RD",
            "address_2": "SUITE 230",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857153850",
            "telephone_number": "520-290-6800",
            "fax_number": "520-290-2270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6369 E TANQUE VERDE RD",
            "address_2": "SUITE 230",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857153850",
            "telephone_number": "520-290-6800",
            "fax_number": "520-290-2270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTIA",
        "first_name": "RONALD",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "AZ",
            "license": "D3539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.