Catalina Foothills Family Dental, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CATALINA FOOTHILLS FAMILY DENTAL, LLC

Doing business as

Catalina Foothills Family Dental

Practice address

3986 N Campbell Ave
Tucson, AZ 85719-1461

Phone

(520) 795-3418

NPI assigned

Mar 23, 2021

Last updated

Mar 23, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lynne K Miller

Title

Office Manager

Phone

(520) 891-0817

Specialties & licenses 1

Addresses

Other names 3

• Catalina Foothills Family Dental Doing business as
• Jonathan S. Icely Other name
• Mark A Larsen Other name

Locations

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.

• Harry C. Reece, D.D.S.

  • Dentist
  • Tucson, AZ
  • NPI 1497829576
  NPD (past)

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

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616457600000",
    "number": "1649856246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3986 N CAMPBELL AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857191461",
            "telephone_number": "520-795-3418",
            "fax_number": "520-795-3010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3986 N CAMPBELL AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857191461",
            "telephone_number": "520-795-3418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATALINA FOOTHILLS FAMILY DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-23",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "LYNNE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "520-891-0817"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Catalina Foothills Family Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jonathan S. Icely",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Mark A Larsen",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Catalina Ear, Nose & Throat (The Institute for Balance & Dizziness)
• Catalina Ear, Nose & Throat (The Institute for Balance & Dizziness)
• Catalina Ear, Nose and Throat PC
• Catalina Eye Care PC
• Catalina Eye Care PC
• Catalina Foothills Pediatric Psychiatry
• Catalina Foothills School U.S.D.
• Catalina Gastroenterology
• Catalina Gentle Comfort Transport LLC (Catalina Comfort Care)
• Catalina Hand and Shoulder Therapy, PC

• General Practice Dentistry in Tucson, AZ
• Providers in Tucson, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.

Verify at the official NPI Registry.