Organization Active NPI

Ledingham Dental Corp., PA

  • General Practice Dentistry
  • Tucson, AZ
National Provider Identifier
1457454613
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LEDINGHAM DENTAL CORP., PA
Practice address
5209 N Oracle Rd
Tucson, AZ 85704-3707
Phone
(520) 293-9277
Fax
(520) 881-5133
NPI assigned
Sep 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Kevin Glen Brown
Title
Owner
Phone
(520) 319-1390

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

5209 N Oracle Rd
Tucson, AZ 85704-3707

Mailing address

5213 N Oracle Rd
Tucson, AZ 85704-3707
Phone (520) 319-1390

Other names 1

  • Dental Village Doing business as

National Provider Directory

National Provider Directory

Locations

5213 N Oracle Rd
Tucson, AZ 85704

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457454613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5213 N ORACLE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857043707",
            "telephone_number": "520-319-1390",
            "fax_number": "520-881-5133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5209 N ORACLE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857043707",
            "telephone_number": "520-293-9277",
            "fax_number": "520-881-5133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEDINGHAM DENTAL CORP., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "GLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-319-1390",
        "authorized_official_name_prefix": "Mr."
    },
    "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": "Dental Village",
            "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 Aug 22, 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.