Individual provider Active NPI

Stephanie Beth Vidoni-Hartung, DDS

  • Dentist
  • Green Valley, AZ
National Provider Identifier
1508832585
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D4977 Issued in AZ
Practice address
75 W Calle de Las Tiendas
Dte 125B
Green Valley, AZ 85614
Phone
(520) 399-4000
Fax
(520) 515-9600
NPI assigned
Feb 28, 2006
Last updated
Aug 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D4977 AZ Primary

Addresses

Primary practice location

75 W Calle de Las Tiendas
Dte 125B
Green Valley, AZ 85614

Mailing address

6596 N Oracle Rd
Tucson, AZ 85704
Phone (520) 297-9069

Other identifiers 1

IdentifierTypeStateIssuer
523789MedicaidAZ

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

Practice roles

OrganizationSpecialtyStatusNew patients
Az Dental Medicine LLC CurrentSince May 25, 2021 Accepting new patients
Johnson Dental Partners Past Accepting new patients
R&R Dental Medicine, P.L.L.C. PastSince Dec 22, 2019 Accepting new patients
RJ Dental Partners LLC General Practice Past Accepting new patients

Locations

6596 N Oracle Rd
Tucson, AZ 85704
Phone (520) 297-9069

Organizations & group practices 4

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": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1508832585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6596 N ORACLE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85704",
            "telephone_number": "520-297-9069",
            "fax_number": "520-886-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 W CALLE DE LAS TIENDAS",
            "address_2": "DTE 125B",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "85614",
            "telephone_number": "520-399-4000",
            "fax_number": "520-515-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDONI-HARTUNG",
        "first_name": "STEPHANIE",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-28",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D4977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "523789",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; 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.