Individual provider Active NPI

William Sasda Kay, DMD

  • Student in an Organized Health Care Education/Training Program
  • Tucson, AZ
National Provider Identifier
1407698491
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
2901602909 Issued in MI
Practice address
9180 N Coachline Blvd
Tucson, AZ 85743-7360
Phone
(520) 577-0035
Fax
(520) 577-0044
NPI assigned
Jun 10, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 2901602909 MI Primary

Addresses

Primary practice location

9180 N Coachline Blvd
Tucson, AZ 85743-7360

Mailing address

9180 N Coachline Blvd
Tucson, AZ 85743-7360
Phone (520) 577-0035

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20260530000058 MI Order and Referring Only - DentistPractitioner - Dentist 5991275927

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901602909MIMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1407698491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9180 N COACHLINE BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857437360",
            "telephone_number": "520-577-0035",
            "fax_number": "520-577-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9180 N COACHLINE BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857437360",
            "telephone_number": "520-577-0035",
            "fax_number": "520-577-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAY",
        "first_name": "WILLIAM",
        "middle_name": "SASDA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-10",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "2901602909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.