NPIMap

Organization Active NPI

Midvale Park Dental Partners LLC

  • General Practice Dentistry
  • Tucson, AZ
National Provider Identifier
1669026167
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MIDVALE PARK DENTAL PARTNERS LLC
Practice address
1979 W Valencia Rd
Tucson, AZ 85746
Phone
(520) 204-1211
NPI assigned
Aug 1, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Authorized official

Name
Dr. Whitney Wright, DDS
Title
Officer
Phone
(480) 339-4800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1979 W Valencia Rd
Tucson, AZ 85746

Mailing address

3030 N Central Ave Ste 1500
Phoenix, AZ 85012-2750
Phone (602) 427-4066

Other names 1

  • Risas Dental and Braces Doing business as

National Provider Directory

National Provider Directory

Locations

1979 W Valencia Rd
Tucson, AZ 85746
Phone (520) 204-1211

Practitioners & affiliated clinicians

Practitioners 5

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": "1564617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1669026167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 N CENTRAL AVE STE 1500",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122750",
            "telephone_number": "602-427-4066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1979 W VALENCIA RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85746",
            "telephone_number": "520-204-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDVALE PARK DENTAL PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-01",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "WHITNEY",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "480-339-4800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Risas Dental and Braces",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Risas Dental and Braces",
            "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 Mar 19, 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.