Individual provider Active NPI

Trevor Clancy Cubra, DDS

  • Dentist
  • Tucson, AZ
National Provider Identifier
1467293084
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D012232 Issued in AZ
Practice address
1331 N Swan Rd
Tucson, AZ 85712-4040
Phone
(520) 290-8787
Fax
(520) 326-8026
NPI assigned
Jun 6, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D012232 AZ Primary

Addresses

Primary practice location

1331 N Swan Rd
Tucson, AZ 85712-4040

Mailing address

1331 N Swan Rd
Tucson, AZ 85712-4040
Phone (520) 326-5442

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
D012232AZMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Dental Group PLLC CurrentSince Oct 5, 2025 Accepting new patients
Tucson Dental Studio, PLLC Dentist PastSince Oct 5, 2025 Accepting new patients

Locations

1331 N Swan Rd
Tucson, AZ 85712
Phone (520) 326-5442

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1717632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1467293084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 N SWAN RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857124040",
            "telephone_number": "520-326-5442",
            "fax_number": "520-326-8026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 N SWAN RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857124040",
            "telephone_number": "520-290-8787",
            "fax_number": "520-326-8026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUBRA",
        "first_name": "TREVOR",
        "middle_name": "CLANCY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-06",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D012232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 1, 2025; 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.