Active NPI
Ronald George Deriana, DDS
- Dentist
- Tucson, AZ
National Provider Identifier
1811902471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D3161
- Practice address
- 1607 W Ina Rd
Tucson, AZ 85704-1979 - Phone
- (520) 742-2167
- Fax
- (520) 742-2160
- NPI assigned
- Jul 30, 2006
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | D3161 | AZ | Primary |
Addresses
Primary practice location
1607 W Ina Rd
Tucson, AZ 85704-1979
Mailing address
1607 W Ina Rd
Tucson, AZ 85704-1979
Phone (520) 742-2167
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 |
|---|---|---|---|
| D3161 | AZ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ronald G Deriana DDS PLLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Tucson, AZ
- NPI 1043685357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449705600000",
"number": "1811902471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1607 W INA RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857041979",
"telephone_number": "520-742-2167",
"fax_number": "520-742-2160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1607 W INA RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857041979",
"telephone_number": "520-742-2167",
"fax_number": "520-742-2160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DERIANA",
"first_name": "RONALD",
"middle_name": "GEORGE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-30",
"last_updated": "2015-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "D3161",
"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 Dec 10, 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.