Regenesis Wellness Center LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

REGENESIS WELLNESS CENTER LLC

Practice address

4650 W Jojoba Dr
Tucson, AZ 85745-9046

Phone

(520) 743-3366

NPI assigned

Sep 11, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Steven A Swidler, DDS

Title

Owner/President/Dentist

Phone

(520) 743-3366

Specialties & licenses 1

Addresses

Other names 1

• Regenesis Tucson Doing business as

Electronic endpoints 1

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"
        }
    ]
}

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• 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.