Organization Active NPI

Studio Dental, PLLC

  • Dentist
  • Oro Valley, AZ
National Provider Identifier
1740654847
Registry record updated Nov 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6203 Issued in AZ
Legal business name
STUDIO DENTAL, PLLC
Practice address
10550 N la Canada Dr
Suite 106
Oro Valley, AZ 85737-7130
Phone
(520) 575-5576
Fax
(520) 308-4894
NPI assigned
Nov 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2015

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

Authorized official

Name
Michaelanne Chadwick
Title
Receptionist
Phone
(520) 575-5576

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 6203 AZ Primary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 9026 AZ

Addresses

Primary practice location

10550 N la Canada Dr
Suite 106
Oro Valley, AZ 85737-7130

Mailing address

10550 N la Canada Dr
Suite 106
Oro Valley, AZ 85737-7130
Phone (520) 575-5576

National Provider Directory

National Provider Directory

Locations

10550 N La Canada Dr
Ste 106
Oro Valley, AZ 85737
Phone (520) 575-5576

NPI Registry JSON

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

{
    "created_epoch": "1448841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448841600000",
    "number": "1740654847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10550 N LA CANADA DR",
            "address_2": "SUITE 106",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857377130",
            "telephone_number": "520-575-5576",
            "fax_number": "520-308-4894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10550 N LA CANADA DR",
            "address_2": "SUITE 106",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857377130",
            "telephone_number": "520-575-5576",
            "fax_number": "520-308-4894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUDIO DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-30",
        "last_updated": "2015-11-30",
        "status": "A",
        "authorized_official_last_name": "CHADWICK",
        "authorized_official_first_name": "MICHAELANNE",
        "authorized_official_title_or_position": "RECEPTIONIST",
        "authorized_official_telephone_number": "520-575-5576"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "6203",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "9026",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oro Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.