NPIMap

Organization Active NPI

Academy Dental Care PC

Doing business as charles e pick dds pc

  • Dentist
  • Tucson, AZ
National Provider Identifier
1639247315
Registry record updated Jun 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4821 Issued in AZ
Legal business name
ACADEMY DENTAL CARE PC
Doing business as
charles e pick dds pc
Practice address
310 N Wilmot Rd Ste 101
Tucson, AZ 85711-2626
Phone
(520) 298-2379
NPI assigned
Dec 1, 2006
Last updated
Jun 28, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
CHARLES E PICK DDS PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 28, 2011

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

Authorized official

Name
Dr. Charles E Pick, DDSNPI 1508191610
Title
Pres
Phone
(520) 298-2379

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 4821 AZ Primary

Addresses

Primary practice location

310 N Wilmot Rd Ste 101
Tucson, AZ 85711-2626

Mailing address

310 N Wilmot Rd Ste 101
Tucson, AZ 85711-2626
Phone (520) 298-2379

Other names 1

  • charles e pick dds pc Doing business as

National Provider Directory

National Provider Directory

Locations

310 N Wilmot Rd
Ste 101
Tucson, AZ 85711
Phone (520) 298-2379

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": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309219200000",
    "number": "1639247315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 N WILMOT RD STE 101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857112626",
            "telephone_number": "520-298-2379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 N WILMOT RD STE 101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857112626",
            "telephone_number": "520-298-2379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADEMY DENTAL CARE PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHARLES E PICK DDS PC",
        "enumeration_date": "2006-12-01",
        "last_updated": "2011-06-28",
        "status": "A",
        "authorized_official_last_name": "PICK",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "520-298-2379",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "4821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "charles e pick dds pc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 28, 2011; 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.