NPIMap

Organization Active NPI

Corona Dental LLC

  • Dentist
  • Corona de Tucson, AZ
National Provider Identifier
1376978338
Registry record updated Sep 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
CORONA DENTAL LLC
Practice address
55 E Tallahassee Dr
Corona de Tucson, AZ 85641-2310
Phone
(520) 762-0123
Fax
(520) 762-1100
NPI assigned
Sep 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2013

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

Authorized official

Name
Jared Haws, D.D.SNPI 1922178870
Title
Owner/Doctor
Phone
(520) 762-0123

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

55 E Tallahassee Dr
Corona de Tucson, AZ 85641-2310

Mailing address

55 E Tallahassee Dr
Corona de Tucson, AZ 85641-2310
Phone (520) 762-0123

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1378771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378771200000",
    "number": "1376978338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 E TALLAHASSEE DR",
            "city": "CORONA DE TUCSON",
            "state": "AZ",
            "postal_code": "856412310",
            "telephone_number": "520-762-0123",
            "fax_number": "520-762-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 E TALLAHASSEE DR",
            "city": "CORONA DE TUCSON",
            "state": "AZ",
            "postal_code": "856412310",
            "telephone_number": "520-762-0123",
            "fax_number": "520-762-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORONA DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-10",
        "last_updated": "2013-09-10",
        "status": "A",
        "authorized_official_last_name": "HAWS",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "520-762-0123",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona de Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; 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.