Southern Dental Specialties of Tucson

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SOUTHERN DENTAL SPECIALTIES OF TUCSON

Practice address

1601 N Tucson Blvd Ste 12C
Tucson, AZ 85716-3405

Phone

(520) 327-4224

NPI assigned

Jan 18, 2019

Organization subpart

Yes

Parent organization

ASSOCIATED DENTAL CARE PROVIDERSAs reported in NPPES

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

Authorized official

Name

Jerome Beck

Title

Senior Director of Operations

Phone

(480) 833-4180

Specialties & licenses 1

Addresses

Part of

Associated Dental Care Providers

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph N. D'Aniello, D.M.D.

  • Periodontics
  • Fountain Hills, AZ
  • NPI 1568422871
  NPD (past)

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

{
    "created_epoch": "1547769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547769600000",
    "number": "1760956189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 N TUCSON BLVD STE 12C",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857163405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 N TUCSON BLVD STE 12C",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857163405",
            "telephone_number": "520-327-4224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN DENTAL SPECIALTIES OF TUCSON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASSOCIATED DENTAL CARE PROVIDERS",
        "enumeration_date": "2019-01-18",
        "last_updated": "2019-01-18",
        "status": "A",
        "authorized_official_last_name": "BECK",
        "authorized_official_first_name": "JEROME",
        "authorized_official_title_or_position": "SENIOR DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "480-833-4180"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Southwest Ambulance of Tucson Inc
• Southwest Credentialing Service
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• Dentist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.