Organization Active NPI

Grant Road Dentistry, LLP

Doing business as Grant Road Dentistry

  • Dentist
  • Tucson, AZ
National Provider Identifier
1427560713
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
GRANT ROAD DENTISTRY, LLP
Doing business as
Grant Road Dentistry
Practice address
4811 E Grant Rd Ste 121
Tucson, AZ 85712-2763
Phone
(520) 276-0568
Fax
(520) 276-0568
NPI assigned
Oct 26, 2017
Last updated
Jun 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2022

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

Authorized official

Name
Bart Stears, DDS
Title
Owner
Phone
(520) 276-0568

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X Primary

Addresses

Primary practice location

4811 E Grant Rd Ste 121
Tucson, AZ 85712-2763

Mailing address

PO Box 920050
Dallas, TX 75392-0050
Phone (714) 845-8500

Other names 1

  • Grant Road Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

4811 E Grant Rd
Ste 121
Tucson, AZ 85712
Phone (520) 276-0568

Practitioners & affiliated clinicians

Practitioners 3

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": "1508976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655164800000",
    "number": "1427560713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050",
            "telephone_number": "714-845-8500",
            "fax_number": "303-952-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4811 E GRANT RD STE 121",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122763",
            "telephone_number": "520-276-0568",
            "fax_number": "520-276-0568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANT ROAD DENTISTRY, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-26",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A",
        "authorized_official_last_name": "STEARS",
        "authorized_official_first_name": "BART",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-276-0568",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grant Road 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 14, 2022; 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.