Organization Active NPI

Foothills Family Dentistry LLC

  • General Practice Dentistry
  • Tucson, AZ
National Provider Identifier
1528675303
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
FOOTHILLS FAMILY DENTISTRY LLC
Practice address
7229 N Thornydale Rd
Tucson, AZ 85741-2097
Phone
(520) 744-3480
NPI assigned
Sep 25, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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

Authorized official

Name
Rodney Clark Tilley
Title
GM
Phone
(602) 695-4192

Specialties & licenses 1

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

Addresses

Primary practice location

7229 N Thornydale Rd
Tucson, AZ 85741-2097

Mailing address

16627 S Lindsay Rd
Gilbert, AZ 85295-1501
Phone (602) 695-4192

National Provider Directory

National Provider Directory

Locations

7229 N Thornydale Rd
Tucson, AZ 85741
Phone (520) 744-2039

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1600992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601942400000",
    "number": "1528675303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16627 S LINDSAY RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852951501",
            "telephone_number": "602-695-4192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7229 N THORNYDALE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857412097",
            "telephone_number": "520-744-3480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTHILLS FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-25",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A",
        "authorized_official_last_name": "TILLEY",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "CLARK",
        "authorized_official_title_or_position": "GM",
        "authorized_official_telephone_number": "602-695-4192"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "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 6, 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.