NPIMap

Organization Active NPI

Stephen J Harkins DDS PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Tucson, AZ
National Provider Identifier
1740361559
Registry record updated Oct 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
D2775 Issued in AZ
Legal business name
STEPHEN J HARKINS DDS PC
Practice address
4781 E Camp Lowell Dr Ste 101
Tucson, AZ 85712-1290
Phone
(520) 298-6909
Fax
(520) 298-7376
NPI assigned
Oct 18, 2006
Last updated
Oct 4, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2012

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

Authorized official

Name
Dr. Stephen J Harkins, DDSNPI 1477599827
Title
Dentist/Owner
Phone
(520) 298-6909

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X D2775 AZ Primary

Addresses

Primary practice location

4781 E Camp Lowell Dr Ste 101
Tucson, AZ 85712-1290

Mailing address

4781 E Camp Lowell Dr Ste 101
Tucson, AZ 85712-1290
Phone (520) 298-6909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031210000207 AZ Part B Supplier - Clinic/Group Practice 3971409004 Receives reassigned benefits from 6 practitioners
Practice locations: Tucson, AZ

National Provider Directory

National Provider Directory

Locations

4781 E Camp Lowell Dr
Ste 101
Tucson, AZ 85712
Phone (520) 298-6909

Practitioners & affiliated clinicians

Practitioners 6

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": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349308800000",
    "number": "1740361559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4781 E CAMP LOWELL DR STE 101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857121290",
            "telephone_number": "520-298-6909",
            "fax_number": "520-298-7376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4781 E CAMP LOWELL DR STE 101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857121290",
            "telephone_number": "520-298-6909",
            "fax_number": "520-298-7376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN J HARKINS DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2012-10-04",
        "status": "A",
        "authorized_official_last_name": "HARKINS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "520-298-6909",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "AZ",
            "license": "D2775",
            "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 Oct 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.