Active NPI
TS Dental Management LLC
- Dental Clinic/Center
- Phoenix, AZ
National Provider Identifier
1881281889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- TS DENTAL MANAGEMENT LLC
- Practice address
- 4530 E Ray Rd Ste 170
Phoenix, AZ 85044-6097 - Phone
- (480) 477-3090
- NPI assigned
- Dec 23, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tracy Tran
- Title
- Manager
- Phone
- (480) 477-3090
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | |||
| Clinic/Center | 261Q00000X | |||
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
4530 E Ray Rd Ste 170
Phoenix, AZ 85044-6097
Mailing address
4530 E Ray Rd Ste 170
Phoenix, AZ 85044-6097
Phone (480) 477-3090
Other names 1
- Tru Smile Ahwatukee
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Peoria, AZ
- NPI 1891040028
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608681600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1609113600000",
"number": "1881281889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4530 E RAY RD STE 170",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850446097",
"telephone_number": "480-477-3090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4530 E RAY RD STE 170",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850446097",
"telephone_number": "480-477-3090"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TS DENTAL MANAGEMENT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-23",
"last_updated": "2020-12-28",
"certification_date": "2020-12-28",
"status": "A",
"authorized_official_last_name": "TRAN",
"authorized_official_first_name": "TRACY",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "480-477-3090"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Tru Smile Ahwatukee",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.