Children's Dental Clinic of Tucson, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CHILDREN'S DENTAL CLINIC OF TUCSON, LLC

Practice address

910 W Irvington Rd
#180
Tucson, AZ 85714-2458

Phone

(520) 806-0120

NPI assigned

Jul 27, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Trudy Williams

Title

Director, Licensing & Credentialing

Phone

(615) 750-0342

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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

• Dileep Danivas

  • General Practice Dentistry
  • Tucson, AZ
  • NPI 1710093463
  NPD (past)
• Gopi Krishna Vasireddy, DMD

  • General Practice Dentistry
  • Tucson, AZ
  • NPI 1962693861
  NPD (past)
• Yen Chun Wang, DDS

  • Dentist
  • Mesa, AZ
  • NPI 1497812606
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274054400000",
    "number": "1861406829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W 8TH ST",
            "address_2": "SUITE 810",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810033038",
            "telephone_number": "719-562-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 W IRVINGTON RD",
            "address_2": "#180",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857142458",
            "telephone_number": "520-806-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S DENTAL CLINIC OF TUCSON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2010-05-17",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "TRUDY",
        "authorized_official_title_or_position": "DIRECTOR, LICENSING & CREDENTIALING",
        "authorized_official_telephone_number": "615-750-0342",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "736267",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Child & Family Resources, Inc.
• Child & Family Support Services, Inc
• Children and Family Counseling of Tucson, PC
• Children's Clinics for Rehabilitative Services (Children's Clinics)
• Children's Clinics for Rehabilitative Services (Children's Clinics)
• Children's Orthopedic Specialists, P.C.
• Children's Pulmonary Specialists, PC
• Childrens Eye Center PLLC
• Katharine Childress, LPC
• Nicholas Childress

• General Practice Dentistry in Tucson, AZ
• Providers in Tucson, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2010; 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.