NPIMap

Organization Active NPI

Ju Ju Dental PC

  • General Practice Dentistry
  • Tucson, AZ
National Provider Identifier
1427489780
Registry record updated Jun 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JU JU DENTAL PC
Practice address
15969 N Oracle Rd Ste 101
Tucson, AZ 85739-9199
Phone
(520) 825-8112
Fax
(520) 825-2242
NPI assigned
Dec 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2020

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

Authorized official

Name
Dr. Jeannie Ju, DDSNPI 1023331287
Title
President
Phone
(626) 222-7638

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

15969 N Oracle Rd Ste 101
Tucson, AZ 85739-9199

Mailing address

15969 N Oracle Rd Ste 101
Tucson, AZ 85739-9199
Phone (626) 222-7638

Other names 2

  • Creative Smiles Doing business as
  • Creative Smiles Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

15969 N Oracle Rd
Ste 101
Tucson, AZ 85739
Phone (520) 825-1505

Practitioners & affiliated clinicians

Practitioners 2

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": "1386720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592438400000",
    "number": "1427489780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15969 N ORACLE RD STE 101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857399199",
            "telephone_number": "626-222-7638",
            "fax_number": "520-825-2242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15969 N ORACLE RD STE 101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857399199",
            "telephone_number": "520-825-8112",
            "fax_number": "520-825-2242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JU JU DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-11",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A",
        "authorized_official_last_name": "JU",
        "authorized_official_first_name": "JEANNIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-222-7638",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Creative Smiles",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Creative Smiles",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Creative Smiles Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2020; 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.