NPIMap

Organization Active NPI

TBD IV, PLLC

  • Dentist
  • Oro Valley, AZ
National Provider Identifier
1790272425
Registry record updated Apr 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D009150 Issued in AZ
Legal business name
TBD IV, PLLC
Practice address
750 E Pusch View LN Ste 100
Oro Valley, AZ 85737-8766
Phone
(520) 797-9524
NPI assigned
Apr 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2018

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

Authorized official

Name
Dr. Thomas Edward Bell, DMD
Title
President
Phone
(502) 640-3609

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X D009150 AZ Primary

Addresses

Primary practice location

750 E Pusch View LN Ste 100
Oro Valley, AZ 85737-8766

Mailing address

10675 N Summer Moon PL
Tucson, AZ 85737-8631
Phone (502) 640-3609

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1524009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524009600000",
    "number": "1790272425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10675 N SUMMER MOON PL",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857378631",
            "telephone_number": "502-640-3609",
            "fax_number": "520-329-8848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 E PUSCH VIEW LN STE 100",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857378766",
            "telephone_number": "520-797-9524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TBD IV, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-18",
        "last_updated": "2018-04-18",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-640-3609",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D009150",
            "primary": true
        }
    ],
    "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 Apr 18, 2018; 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.