Orthodontic Professionals PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

ORTHODONTIC PROFESSIONALS PC

Practice address

150 N Pantano Rd
Suite 100
Tucson, AZ 85710

Phone

(520) 290-8787

Fax

(520) 290-2278

NPI assigned

Nov 15, 2006

Last updated

Aug 22, 2020By 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. Mark Thomas Donovan, DDS MSNPI 1922168814

Title

Orthodontist

Phone

(520) 290-8787

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Mark T Donovan, DDS MS

  • Dentist
  • Tucson, AZ
  • NPI 1922168814
  Authorized official Same address or phone

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730252388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 N PANTANO RD",
            "address_2": "SUITE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85710",
            "telephone_number": "520-290-8787",
            "fax_number": "520-290-2278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N PANTANO RD",
            "address_2": "SUITE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85710",
            "telephone_number": "520-290-8787",
            "fax_number": "520-290-2278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHODONTIC PROFESSIONALS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DONOVAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "520-290-8787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gustavo Ortega, M.D.
• Jacqueline M Ortega, SLP-CCC
• Vanessa Kristine Ortega, RN
• Orthassist
• Ortho Sport & Spine Physicians Tucson
• Orthodontic Specialists of Tucson, PC (Drs. Pearcy & Raksanaves)
• Orthomed LLC (ProActive Physical Therapy)
• Orthomed LLC (Proactive Physical Therapy)
• Orthomed LLC (Proactive Physical therapy)
• Orthomed LLC (Proactive Physical Therpy)

• Orthodontics and Dentofacial Orthopedics Dentistry in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.