Mindy L Buoncristiani, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

43764 Issued in CA

Practice address

1880 E Tangerine Rd Ste 190
Oro Valley, AZ 85755-6239

Phone

(520) 544-5590

NPI assigned

Oct 23, 2006

Last updated

Apr 3, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Dentists of Vail, LLP

  dba Dentists of Vail

  • Dentist
  • Vail, AZ
  • NPI 1457814063
  NPD (past)
• Rita Ranch Dental Group, LLP

  • General Practice Dentistry
  • Tucson, AZ
  • NPI 1386871564
  NPD (past)
• Tangerine Dental Group, LLP

  dba Tangerine Dental Group

  • General Practice Dentistry
  • Oro Valley, AZ
  • NPI 1043459738
  NPD (past)
• Mark O Manoukian Dental Corp

  • Endodontics
  • Mill Valley, CA
  • NPI 1093624827
  NPD (past)
• Natanya Marracino DMD, Inc

  dba Mill Valley Endodontics

  • Endodontics
  • San Francisco, CA
  • NPI 1386035236
  NPD (past)

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1376626622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32045 PACIFIC COAST HWY",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902652549",
            "telephone_number": "415-497-8357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 E TANGERINE RD STE 190",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857556239",
            "telephone_number": "520-544-5590"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13410 E Mary Ann Cleveland Way",
            "address_purpose": "LOCATION",
            "city": "Vail",
            "state": "AZ",
            "postal_code": "856418613",
            "country_code": "US",
            "telephone_number": "520-316-0613",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8160 S Houghton Rd Ste 130",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857479720",
            "country_code": "US",
            "telephone_number": "520-663-4089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUONCRISTIANI",
        "first_name": "MINDY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "43764",
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "AZ",
            "license": "D012425",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bright Achievements Az LLC
• Charles David Broderick, RPH
• Brookdale Senior Living Communities, Inc. (Brookdale Oro Valley)
• Kimberly Brown
• Trevor J Brown, PT
• Michael Clark Burke, R.PH.
• Paul R Butler, MD
• Dixie Callan, DPT
• Erica Michelle Campbell, ND
• Kimberly Campion, OTR

• Endodontics in Oro Valley, AZ
• Providers in Oro Valley, AZ by specialty
• Endodontics in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.