NPIMap

Organization Active NPI

Beverly Reed Agnew, DDS, PC

  • General Practice Dentistry
  • Tucson, AZ
National Provider Identifier
1356619720
Registry record updated Dec 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3519 Issued in AZ
Legal business name
BEVERLY REED AGNEW, DDS, PC
Practice address
15969 N Oracle Rd # 101
Tucson, AZ 85739-9209
Phone
(520) 825-1505
NPI assigned
Dec 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2011

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

Authorized official

Name
Dr. Beverly Reed Agnew, DDSNPI 1619937711
Title
President
Phone
(520) 825-1505

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 3519 AZ Primary

Addresses

Primary practice location

15969 N Oracle Rd # 101
Tucson, AZ 85739-9209

Mailing address

15969 N Oracle Rd # 101
Tucson, AZ 85739-9209
Phone (520) 825-1505

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323734400000",
    "number": "1356619720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15969 N ORACLE RD # 101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857399209",
            "telephone_number": "520-825-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15969 N ORACLE RD # 101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857399209",
            "telephone_number": "520-825-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY REED AGNEW, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-13",
        "last_updated": "2011-12-13",
        "status": "A",
        "authorized_official_last_name": "AGNEW",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_middle_name": "REED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-825-1505",
        "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": "3519",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 13, 2011; 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.