NPIMap

Organization Active NPI

Mountainside Dental Care

  • General Practice Dentistry
  • Oro Valley, AZ
National Provider Identifier
1821494394
Registry record updated Nov 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3578 Issued in AZ
Legal business name
MOUNTAINSIDE DENTAL CARE
Practice address
9000 N Oracle Rd
Oro Valley, AZ 85704-7400
Phone
(520) 297-5422
NPI assigned
Nov 11, 2014
Last updated
Nov 11, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2014

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

Authorized official

Name
David H. Haymore, DDSNPI 1093769671
Title
Manager
Phone
(520) 297-5422

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3578 AZ Primary

Addresses

Primary practice location

9000 N Oracle Rd
Oro Valley, AZ 85704-7400

Mailing address

9000 N Oracle Rd
Oro Valley, AZ 85704-7400
Phone (520) 297-5422

Other identifiers 3

IdentifierTypeStateIssuer
1700218419OtherAZNPPES
1922034347OtherAZNPPES
1093769671OtherAZNPPES

National Provider Directory

National Provider Directory

Locations

9000 N Oracle Rd
Tucson, AZ 85704
Phone (520) 297-2514

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1415664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415664000000",
    "number": "1821494394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 N ORACLE RD",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857047400",
            "telephone_number": "520-297-5422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 N ORACLE RD",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857047400",
            "telephone_number": "520-297-5422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAINSIDE DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-11",
        "last_updated": "2014-11-11",
        "status": "A",
        "authorized_official_last_name": "HAYMORE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "520-297-5422",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "3578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1700218419",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1922034347",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1093769671",
            "state": "AZ"
        }
    ],
    "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 11, 2014; 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.