Adam R Dalesandro PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

ADAM R DALESANDRO PC

Practice address

762 N Country Club Rd
Tucson, AZ 85716-4535

Phone

(520) 748-8004

Fax

(520) 327-0907

NPI assigned

Nov 26, 2019

Organization subpart

No

Name

Adam R Dalesandro, DMD

Title

Owner

Phone

(520) 748-8004

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 26, 2019.

{
    "created_epoch": "1574726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574726400000",
    "number": "1437795366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "762 N COUNTRY CLUB RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857164535",
            "telephone_number": "520-748-8004",
            "fax_number": "520-327-0907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "762 N COUNTRY CLUB RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857164535",
            "telephone_number": "520-748-8004",
            "fax_number": "520-327-0907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAM R DALESANDRO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-26",
        "last_updated": "2019-11-26",
        "status": "A",
        "authorized_official_last_name": "DALESANDRO",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-748-8004",
        "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": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; 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.