NPIMap

Organization Active NPI

Dental Smile Spa

Doing business as Smile Spa

  • General Practice Dentistry
  • Tucson, AZ
National Provider Identifier
1679711667
Registry record updated Jan 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D3474 Issued in AZ
Legal business name
DENTAL SMILE SPA
Doing business as
Smile Spa
Practice address
2498 E River Rd
Tucson, AZ 85718-6522
Phone
(520) 529-8000
Fax
(520) 529-8400
NPI assigned
Jan 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2009

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

Authorized official

Name
Dr. Mickel Malek, DDS
Title
President
Phone
(520) 529-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D3474 AZ Primary

Addresses

Primary practice location

2498 E River Rd
Tucson, AZ 85718-6522

Mailing address

2498 E River Rd
Tucson, AZ 85718-6522
Phone (520) 529-8000

Other names 1

  • Smile Spa Doing business as

National Provider Directory

National Provider Directory

Locations

2498 E River Rd
Tucson, AZ 85718
Phone (520) 529-8000

NPI Registry JSON

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

{
    "created_epoch": "1233100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233100800000",
    "number": "1679711667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2498 E RIVER RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857186522",
            "telephone_number": "520-529-8000",
            "fax_number": "520-529-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2498 E RIVER RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857186522",
            "telephone_number": "520-529-8000",
            "fax_number": "520-529-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL SMILE SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-28",
        "last_updated": "2009-01-28",
        "status": "A",
        "authorized_official_last_name": "MALEK",
        "authorized_official_first_name": "MICKEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-529-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D3474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Spa",
            "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 Jan 28, 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.