Active NPI
Concierge Dental
- General Practice Dentistry
- Oro Valley, AZ
National Provider Identifier
1619569415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- CONCIERGE DENTAL
- Practice address
- 1846 E Innovation Park Dr # 85755
Oro Valley, AZ 85755-1963 - Phone
- (520) 201-8210
- Fax
- (520) 318-5701
- NPI assigned
- Feb 3, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael John Neish
- Title
- DMD
- Phone
- (520) 201-8210
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
1846 E Innovation Park Dr # 85755
Oro Valley, AZ 85755-1963
Mailing address
1846 E Innovation Park Dr # 85755
Oro Valley, AZ 85755-1963
Phone (520) 201-8210
National Provider Directory
National Provider DirectoryPractitioners & 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": "1612310400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1612310400000",
"number": "1619569415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1846 E INNOVATION PARK DR # 85755",
"city": "ORO VALLEY",
"state": "AZ",
"postal_code": "857551963",
"telephone_number": "520-201-8210",
"fax_number": "520-318-5701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1846 E INNOVATION PARK DR # 85755",
"city": "ORO VALLEY",
"state": "AZ",
"postal_code": "857551963",
"telephone_number": "520-201-8210",
"fax_number": "520-318-5701"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONCIERGE DENTAL",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-03",
"last_updated": "2021-02-03",
"certification_date": "2021-02-03",
"status": "A",
"authorized_official_last_name": "NEISH",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "JOHN",
"authorized_official_title_or_position": "DMD",
"authorized_official_telephone_number": "520-201-8210",
"authorized_official_name_prefix": "Dr."
},
"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 Oro Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.