Arizona Ocular and Facial Plastic Surgery, PLLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

36057 Issued in AZ

Legal business name

ARIZONA OCULAR AND FACIAL PLASTIC SURGERY, PLLC

Practice address

3501 N. Scottsdale Road
Suite 326
Scottsdale, AZ 85251-5650

Phone

(480) 949-5990

Fax

(480) 949-0509

NPI assigned

Feb 20, 2014

Last updated

Feb 20, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dustin Michael Heringer, M.D.NPI 1124074190

Title

Managing Member

Phone

(480) 949-5990

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 1

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.

• Dustin Michael Heringer, MD

  • Ophthalmology Physician
  • Tucson, AZ
  • NPI 1124074190
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1392854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392854400000",
    "number": "1457776981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 N. SCOTTSDALE ROAD",
            "address_2": "SUITE 326",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852515650",
            "telephone_number": "480-949-5990",
            "fax_number": "480-949-0509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 N. SCOTTSDALE ROAD",
            "address_2": "SUITE 326",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852515650",
            "telephone_number": "480-949-5990",
            "fax_number": "480-949-0509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA OCULAR AND FACIAL PLASTIC SURGERY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-20",
        "last_updated": "2014-02-20",
        "status": "A",
        "authorized_official_last_name": "HERINGER",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "480-949-5990",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "36057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Arizona Oculoplastic Specialists, PLLC
• Arizona Oncology Associates PC
• Arizona Oral Health Center PLLC
• Arizona Orthodontics Exclusively PC
• Arizona Orthopaedic Foot & Ankle Center, LLC

• Ophthalmology Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Ophthalmology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.