NPIMap

Organization Active NPI

Miramonte Dental Group, LLP

  • General Practice Dentistry
  • Tucson, AZ
National Provider Identifier
1891279121
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MIRAMONTE DENTAL GROUP, LLP
Practice address
3382 E Speedway Blvd
Tucson, AZ 85716-3936
Phone
(520) 257-2352
Fax
(520) 257-2352
NPI assigned
Sep 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Authorized official

Name
Dr. Bart Stears, DDSNPI 1144668732
Title
Owner Dentist
Phone
(520) 257-2352

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3382 E Speedway Blvd
Tucson, AZ 85716-3936

Mailing address

PO Box 920050
Dallas, TX 75392-0050
Phone (714) 845-8500

Other names 1

  • Miramonte Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

3382 E Speedway Blvd
Tucson, AZ 85716
Phone (520) 257-2352

Practitioners & affiliated clinicians

Practitioners 4

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": "1537488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661385600000",
    "number": "1891279121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050",
            "telephone_number": "714-845-8500",
            "fax_number": "303-952-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3382 E SPEEDWAY BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857163936",
            "telephone_number": "520-257-2352",
            "fax_number": "520-257-2352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRAMONTE DENTAL GROUP, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-21",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A",
        "authorized_official_last_name": "STEARS",
        "authorized_official_first_name": "BART",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "520-257-2352",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miramonte Dental Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Miramonte Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 25, 2022; 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.