Organization Active NPI

First Dental Center

  • Prosthodontics
  • Tucson, AZ
National Provider Identifier
1548660384
Registry record updated Aug 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
5759 Issued in AZ
Legal business name
FIRST DENTAL CENTER
Practice address
302 W Ajo Way
Tucson, AZ 85713-6039
Phone
(520) 624-8535
Fax
(520) 624-8537
NPI assigned
Aug 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2014

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

Authorized official

Name
Luis G Keys, DDS, MDSC
Title
Owner
Phone
(520) 624-8535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0700X 5759 AZ Primary

Addresses

Primary practice location

302 W Ajo Way
Tucson, AZ 85713-6039

Mailing address

302 W Ajo Way
Tucson, AZ 85713-6039
Phone (520) 624-8535

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1409270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409270400000",
    "number": "1548660384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 W AJO WAY",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857136039",
            "telephone_number": "520-624-8535",
            "fax_number": "520-624-8537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 W AJO WAY",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857136039",
            "telephone_number": "520-624-8535",
            "fax_number": "520-624-8537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-29",
        "last_updated": "2014-08-29",
        "status": "A",
        "authorized_official_last_name": "KEYS",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-624-8535",
        "authorized_official_credential": "DDS, MDSC"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "AZ",
            "license": "5759",
            "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 Aug 29, 2014; 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.