Active NPI
Coppermine Dental Studio at Rancho Sahuarita PLLC
- Dentist
- Sahuarita, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- COPPERMINE DENTAL STUDIO AT RANCHO SAHUARITA PLLC
- Practice address
- 15920 S Rancho Sahuarita Blvd Ste 100
Sahuarita, AZ 85629-8013 - Phone
- (520) 838-0600
- Fax
- (520) 838-0865
- NPI assigned
- Sep 4, 2018
- Organization subpart
- Yes
- Parent organization
- JUSTIN DUTTON DMD PC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Justin Dutton, DMD
- Title
- Managing Member
- Phone
- (520) 838-0600
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
15920 S Rancho Sahuarita Blvd Ste 100
Sahuarita, AZ 85629-8013
Mailing address
15920 S Rancho Sahuarita Blvd Ste 100
Sahuarita, AZ 85629-8013
Phone (520) 838-0600
National Provider Directory
National Provider Directory- Part of
- Justin Dutton DMD PC
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Sahuarita, AZ
- NPI 1033186556
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536019200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1536019200000",
"number": "1376025536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15920 S RANCHO SAHUARITA BLVD STE 100",
"city": "SAHUARITA",
"state": "AZ",
"postal_code": "856298013",
"telephone_number": "520-838-0600",
"fax_number": "520-838-0865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15920 S RANCHO SAHUARITA BLVD STE 100",
"city": "SAHUARITA",
"state": "AZ",
"postal_code": "856298013",
"telephone_number": "520-838-0600",
"fax_number": "520-838-0865"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COPPERMINE DENTAL STUDIO AT RANCHO SAHUARITA PLLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "JUSTIN DUTTON DMD PC",
"enumeration_date": "2018-09-04",
"last_updated": "2018-09-04",
"status": "A",
"authorized_official_last_name": "DUTTON",
"authorized_official_first_name": "JUSTIN",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "520-838-0600",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sahuarita, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.