NPIMap

Organization Active NPI

Justin Dutton DMD PC

Doing business as CopperMine Dental Studio

  • Dentist
  • Sahuarita, AZ
National Provider Identifier
1386126548
Registry record updated Sep 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
JUSTIN DUTTON DMD PC
Doing business as
CopperMine Dental Studio
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
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2018

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

Authorized official

Name
Dr. Justin Dutton, DMDNPI 1033186556
Title
President
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)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 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

Other names 1

  • CopperMine Dental Studio Doing business as

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1386126548",
    "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": "JUSTIN DUTTON DMD PC",
        "organizational_subpart": "NO",
        "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": "PRESIDENT",
        "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": [
        {
            "organization_name": "CopperMine Dental Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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.

Verify at the official NPI Registry.