Organization Active NPI

Orthopros PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Tucson, AZ
National Provider Identifier
1740567817
Registry record updated Nov 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
ORTHOPROS PLLC
Doing business as
1223X0400X
Practice address
150 N Pantano Rd Ste 100
Tucson, AZ 85710-2300
Phone
(520) 290-8787
Fax
(520) 290-2278
NPI assigned
Nov 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2011

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

Authorized official

Name
Mrs. Rosie P Corrales
Title
Office Manager
Phone
(520) 290-8787

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

150 N Pantano Rd Ste 100
Tucson, AZ 85710-2300

Mailing address

150 N Pantano Rd Ste 100
Tucson, AZ 85710-2300
Phone (520) 290-8787

Other names 1

  • 1223X0400X Doing business as

National Provider Directory

National Provider Directory

Locations

225 E Valencia Rd
Tucson, AZ 85706

1751 W Orange Grove Rd
Tucson, AZ 85704

150 N Pantano Rd
Tucson, AZ 85710

NPI Registry JSON

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

{
    "created_epoch": "1320278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320278400000",
    "number": "1740567817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 N PANTANO RD STE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857102300",
            "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 STE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857102300",
            "telephone_number": "520-290-8787",
            "fax_number": "520-290-2278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPROS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-03",
        "last_updated": "2011-11-03",
        "status": "A",
        "authorized_official_last_name": "CORRALES",
        "authorized_official_first_name": "ROSIE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "520-290-8787",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "1223X0400X",
            "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 Nov 3, 2011; 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.