Active NPI
Jeremy R Bonander, DDS
- Dental Anesthesiology
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Anesthesiology
- License
- D008861
- Practice address
- 716 N Country Club Rd
Tucson, AZ 85716 - Phone
- (208) 559-6122
- Fax
- (530) 300-7330
- NPI assigned
- Aug 31, 2011
- Last updated
- May 8, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Anesthesiology | 1223D0004X | D008861 | AZ | Primary |
Addresses
Primary practice location
716 N Country Club Rd
Tucson, AZ 85716
Mailing address
1370 N Silverbell Rd Ste 140
#178
Tucson, AZ 85745-2290
Phone (208) 559-6122
Other practice location 1
6422 E Speedway Blvd Ste 140
Tucson, AZ 85710-1148
Phone (520) 333-5711
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D008861 | AZ | MD | Dentist Anesthesiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tucson Dental Anesthesia PLLC | Dental Anesthesiology | Current | Accepting new patients |
Locations
1370 N Silverbell Rd
Ste 140
Tucson, AZ 85745
Phone (520) 882-7700
6422 E Speedway Blvd
Ste 140
Tucson, AZ 85710
Phone (520) 326-8516
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dental Anesthesiology
- Tucson, AZ
- NPI 1811736457
-
- Dental Anesthesiology
- Tucson, AZ
- NPI 1700241809
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746662400000",
"number": "1780965046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1370 N SILVERBELL RD STE 140",
"address_2": "#178",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857452290",
"telephone_number": "208-559-6122",
"fax_number": "530-300-7330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "716 N COUNTRY CLUB RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "85716",
"telephone_number": "208-559-6122",
"fax_number": "530-300-7330"
}
],
"practiceLocations": [
{
"address_1": "6422 E Speedway Blvd Ste 140",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857101148",
"country_code": "US",
"telephone_number": "520-333-5711",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BONANDER",
"first_name": "JEREMY",
"middle_name": "R",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-31",
"last_updated": "2025-05-08",
"certification_date": "2025-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223D0004X",
"taxonomy_group": "",
"desc": "Dentist, Dental Anesthesiology",
"state": "AZ",
"license": "D008861",
"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 May 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.