NPIMap

Organization Active NPI

Designer Dental Group PLLC

  • General Practice Dentistry
  • Tucson, AZ
National Provider Identifier
1730554346
Registry record updated Dec 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D009249 Issued in AZ
Legal business name
DESIGNER DENTAL GROUP PLLC
Practice address
1951 N Wilmot Rd BLDG 5
Suite 14
Tucson, AZ 85712-8000
Phone
(520) 721-7727
NPI assigned
Dec 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2015

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

Authorized official

Name
Dr. Joshua Nagao, DDS
Title
Doctor/Owner
Phone
(520) 721-7727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D009249 AZ Primary

Addresses

Primary practice location

1951 N Wilmot Rd BLDG 5
Suite 14
Tucson, AZ 85712-8000

Mailing address

1951 N Wilmot Rd BLDG 5
Suite 14
Tucson, AZ 85712-8000
Phone (520) 721-7727

National Provider Directory

National Provider Directory

Locations

1951 N Wilmot Rd
Ste 14
Tucson, AZ 85712
Phone (520) 721-7727

Practitioners & affiliated clinicians

Practitioners 1

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": "1449532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449532800000",
    "number": "1730554346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1951 N WILMOT RD BLDG 5",
            "address_2": "SUITE 14",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857128000",
            "telephone_number": "520-721-7727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 N WILMOT RD BLDG 5",
            "address_2": "SUITE 14",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857128000",
            "telephone_number": "520-721-7727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESIGNER DENTAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-08",
        "last_updated": "2015-12-08",
        "status": "A",
        "authorized_official_last_name": "NAGAO",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "520-721-7727",
        "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": "D009249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 8, 2015; 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.