Active NPI
Roger C. Biede II, D.D.S.
- General Practice Dentistry
- Tucson, AZ
National Provider Identifier
1528028503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D1936
- Practice address
- 1238 W Orange Grove Rd
Suite 102
Tucson, AZ 85704-2950 - Phone
- (520) 797-1240
- Fax
- (520) 742-3876
- NPI assigned
- Mar 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D1936 | AZ | Primary |
Addresses
Primary practice location
1238 W Orange Grove Rd
Suite 102
Tucson, AZ 85704-2950
Mailing address
1238 W Orange Grove Rd
Tucson, AZ 85704
Phone (520) 575-8800
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D1936 | AZ | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TBD II, PLLC | Past | Accepting new patients | |
| Roger Carl Biede II DDS LTD | General Practice | Past | Accepting new patients |
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.
-
- General Practice Dentistry
- Tucson, AZ
- NPI 1790083566
-
- Dentist
- Tucson, AZ
- NPI 1366945537
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623974400000",
"number": "1528028503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1238 W ORANGE GROVE RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "85704",
"telephone_number": "520-575-8800",
"fax_number": "520-742-4120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1238 W ORANGE GROVE RD",
"address_2": "SUITE 102",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857042950",
"telephone_number": "520-797-1240",
"fax_number": "520-742-3876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIEDE",
"first_name": "ROGER",
"middle_name": "C.",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-24",
"last_updated": "2021-06-18",
"certification_date": "2021-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "D1936",
"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 Jun 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.