Craycroft Prime Dental, P.C.

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

CRAYCROFT PRIME DENTAL, P.C.

Practice address

1840 N Craycroft Rd
Tucson, AZ 85712-3702

Phone

(520) 886-2822

NPI assigned

Jul 22, 2019

Last updated

Jul 22, 2019By 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

Dr. Sarah Kym, D.D.S

Title

Dentist

Phone

(716) 225-9244

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1563753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563753600000",
    "number": "1700439544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12930 N TOPANGA DR",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857558725",
            "telephone_number": "716-225-9244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 N CRAYCROFT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857123702",
            "telephone_number": "520-886-2822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAYCROFT PRIME DENTAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-22",
        "last_updated": "2019-07-22",
        "status": "A",
        "authorized_official_last_name": "KYM",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "716-225-9244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Tucson, AZ
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; 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.