NPIMap

Organization Active NPI

An Elegant Smile, P.C.

Doing business as An Elegant Smile Dentistry

  • General Practice Dentistry
  • Tucson, AZ
National Provider Identifier
1659503522
Registry record updated Aug 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7331 Issued in AZ
Legal business name
AN ELEGANT SMILE, P.C.
Doing business as
An Elegant Smile Dentistry
Practice address
6849 N Oracle Rd Ste 115
Tucson, AZ 85704-4242
Phone
(520) 696-0700
Fax
(520) 696-0705
NPI assigned
Aug 11, 2009
Last updated
Aug 11, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
AN ELEGANT SMILE P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 11, 2009

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

Authorized official

Name
Monica Vitela
Title
Credentialing Coordinator
Phone
(602) 482-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 7331 AZ Primary

Addresses

Primary practice location

6849 N Oracle Rd Ste 115
Tucson, AZ 85704-4242

Mailing address

6849 N Oracle Rd Ste 115
Tucson, AZ 85704-4242
Phone (520) 696-0700

Other names 1

  • An Elegant Smile Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
An Elegant Smile PC9 organizations share this tax ID, including this one
Part of
An Elegant Smile PC

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6849 N Oracle Rd
Ste 115
Tucson, AZ 85704
Phone (520) 485-4544

Practitioners & affiliated clinicians

Practitioners 5

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": "1249948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249948800000",
    "number": "1659503522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6849 N ORACLE RD STE 115",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857044242",
            "telephone_number": "520-696-0700",
            "fax_number": "520-696-0705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6849 N ORACLE RD STE 115",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857044242",
            "telephone_number": "520-696-0700",
            "fax_number": "520-696-0705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AN ELEGANT SMILE, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AN ELEGANT SMILE P.C.",
        "enumeration_date": "2009-08-11",
        "last_updated": "2009-08-11",
        "status": "A",
        "authorized_official_last_name": "VITELA",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "602-482-7000"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "7331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "An Elegant Smile Dentistry",
            "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 Aug 11, 2009; 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.