Active NPI
Alex Foor, DMD
- Dentist
- Tubac, AZ
National Provider Identifier
1619538444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D010379
- Practice address
- 2221 I-19 Frontage Road Suite C-101
Tubac, AZ 85646 - Phone
- (520) 398-8408
- NPI assigned
- Jun 24, 2019
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | D010379 | AZ | Primary |
Addresses
Primary practice location
2221 I-19 Frontage Road Suite C-101
Tubac, AZ 85646
Mailing address
2221 I-19 Frontage Road Suite C-101
Tubac, AZ 85646
Phone (520) 398-8408
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
| License | State | Type | Specialty |
|---|---|---|---|
| D010379 | AZ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 1915 Dental PLLC | Dentist | Current | Accepting new patients |
Organizations & group practices 1
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": "1561334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721865600000",
"number": "1619538444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2221 I-19 FRONTAGE ROAD SUITE C-101",
"city": "TUBAC",
"state": "AZ",
"postal_code": "85646",
"telephone_number": "520-398-8408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2221 I-19 FRONTAGE ROAD SUITE C-101",
"city": "TUBAC",
"state": "AZ",
"postal_code": "85646",
"telephone_number": "520-398-8408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOOR",
"first_name": "ALEX",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-24",
"last_updated": "2024-07-25",
"certification_date": "2024-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "D010379",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tubac, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.