NPIMap

Organization Active NPI

Oracle Modern Dentistry and Orthodontics, LLP

Doing business as Oracle Modern Dentistry and Orthodontics

  • Dentist
  • Tucson, AZ
National Provider Identifier
1689918427
Registry record updated Apr 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
ORACLE MODERN DENTISTRY AND ORTHODONTICS, LLP
Doing business as
Oracle Modern Dentistry and Orthodontics
Practice address
4386 N Oracle Rd Ste 198
Tucson, AZ 85705-5146
Phone
(520) 887-2000
Fax
(520) 887-2005
NPI assigned
Nov 17, 2012
Last updated
Apr 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2022

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

Authorized official

Name
Dr. Justin Bortz, DMD
Title
Owner Doctor
Phone
(520) 887-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

4386 N Oracle Rd Ste 198
Tucson, AZ 85705-5146

Mailing address

PO Box 920050
Dallas, TX 75392-0050
Phone (714) 368-2077

Other names 1

  • Oracle Modern Dentistry and Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

4386 N Oracle Rd
Ste 198
Tucson, AZ 85705
Phone (520) 887-2000

Practitioners & affiliated clinicians

Practitioners 3

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": "1353110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649808000000",
    "number": "1689918427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050",
            "telephone_number": "714-368-2077",
            "fax_number": "714-368-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4386 N ORACLE RD STE 198",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857055146",
            "telephone_number": "520-887-2000",
            "fax_number": "520-887-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORACLE MODERN DENTISTRY AND ORTHODONTICS, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-17",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A",
        "authorized_official_last_name": "BORTZ",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "520-887-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oracle Modern Dentistry and Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Oracle Modern Dentistry and Orthodontics",
            "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 Apr 13, 2022; 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.