NPIMap

Organization Active NPI

Coppermine Rancho Sahuarita LLC

Doing business as Coppermine Dental Studio

  • General Practice Dentistry
  • Sahuarita, AZ
National Provider Identifier
1639922990
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
COPPERMINE RANCHO SAHUARITA LLC
Doing business as
Coppermine Dental Studio
Practice address
15920 S Rancho Sahuarita Blvd Ste 100
Sahuarita, AZ 85629-8013
Phone
(520) 838-0600
Fax
(520) 838-0865
NPI assigned
Apr 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Authorized official

Name
Jenny Garcia Rocha
Title
Sr Team Lead
Phone
(972) 869-3789

Specialties & licenses 1

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

Addresses

Primary practice location

15920 S Rancho Sahuarita Blvd Ste 100
Sahuarita, AZ 85629-8013

Mailing address

15920 S Rancho Sahuarita Blvd Ste 100
Sahuarita, AZ 85629-8013
Phone (520) 838-0600

Other names 1

  • Coppermine Dental Studio Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712534400000",
    "number": "1639922990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15920 S RANCHO SAHUARITA BLVD STE 100",
            "city": "SAHUARITA",
            "state": "AZ",
            "postal_code": "856298013",
            "telephone_number": "520-838-0600",
            "fax_number": "520-838-0865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15920 S RANCHO SAHUARITA BLVD STE 100",
            "city": "SAHUARITA",
            "state": "AZ",
            "postal_code": "856298013",
            "telephone_number": "520-838-0600",
            "fax_number": "520-838-0865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPPERMINE RANCHO SAHUARITA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A",
        "authorized_official_last_name": "GARCIA ROCHA",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "SR TEAM LEAD",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coppermine Dental Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sahuarita, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.

Verify at the official NPI Registry.