Individual provider Active NPI

Emilio Tapia, DDS

  • Dentist
  • Tempe, AZ
National Provider Identifier
1437760279
Registry record updated Aug 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D010832 Issued in AZ
Practice address
3401 S McClintock Dr
Tempe, AZ 85282-5820
Phone
(480) 339-3535
NPI assigned
Aug 14, 2020
Last updated
Aug 14, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 105014 CA
Dentist 122300000X D010832 AZ Primary

Addresses

Primary practice location

3401 S McClintock Dr
Tempe, AZ 85282-5820

Mailing address

855 W Southern Ave Apt 1128
Mesa, AZ 85210-5069
Phone (619) 361-4087

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D010832AZMDDentist
105014CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Tempe Dental Partners LLC CurrentSince Feb 18, 2024 Accepting new patients

Locations

3401 S McClintock Dr
Tempe, AZ 85282
Phone (480) 339-3535

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1597363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597363200000",
    "number": "1437760279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 W SOUTHERN AVE APT 1128",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852105069",
            "telephone_number": "619-361-4087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 S MCCLINTOCK DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852825820",
            "telephone_number": "480-339-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAPIA",
        "first_name": "EMILIO",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-14",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "105014",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D010832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.