NPIMap

Organization Active NPI

Regenesis Wellness Center LLC

Doing business as Regenesis Tucson

  • Dentist
  • Tucson, AZ
National Provider Identifier
1730739764
Registry record updated Sep 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
REGENESIS WELLNESS CENTER LLC
Doing business as
Regenesis Tucson
Practice address
4650 W Jojoba Dr
Tucson, AZ 85745-9046
Phone
(520) 743-3366
NPI assigned
Sep 11, 2019
Last updated
Sep 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2019

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

Authorized official

Name
Dr. Steven A Swidler, DDSNPI 1952869075
Title
Owner/President/Dentist
Phone
(520) 743-3366

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

4650 W Jojoba Dr
Tucson, AZ 85745-9046

Mailing address

PO Box 85490
Tucson, AZ 85754-5490
Phone (520) 743-3366

Other names 1

  • Regenesis Tucson Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ari@mwdwellness.com

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: ari@mwdwellness.com

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568160000000",
    "number": "1730739764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 85490",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857545490",
            "telephone_number": "520-743-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 W JOJOBA DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857459046",
            "telephone_number": "520-743-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENESIS WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-11",
        "last_updated": "2019-09-11",
        "status": "A",
        "authorized_official_last_name": "SWIDLER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "520-743-3366",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ari@mwdwellness.com",
            "affiliation": "N",
            "address_1": "4650 W Jojoba Dr",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857459046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Regenesis Tucson",
            "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 Sep 11, 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.