NPIMap

Organization Active NPI

Spanish Trail Dental Group, LLP

Doing business as Dentists of Tucson

  • General Practice Dentistry
  • Tucson, AZ
National Provider Identifier
1902013006
Registry record updated Apr 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SPANISH TRAIL DENTAL GROUP, LLP
Doing business as
Dentists of Tucson
Spanish Trail Dental Group
Practice address
1060 S Harrison Rd Ste 110
Tucson, AZ 85748-6603
Phone
(520) 917-0666
Fax
(520) 917-0670
NPI assigned
May 17, 2007
Last updated
Apr 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 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 Doctor
Phone
(520) 917-0666

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

1060 S Harrison Rd Ste 110
Tucson, AZ 85748-6603

Mailing address

PO Box 920050
Dallas, TX 75392-0050
Phone (714) 508-3600

Other names 2

  • Dentists of Tucson Doing business as
  • SPANISH TRAIL DENTAL GROUP Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2253652Dentists of Tucson1060 S Harrison Rd Ste 110, Tucson, AZ 85748Certificate of waiverApr 20, 2027

National Provider Directory

National Provider Directory

Locations

1060 S Harrison Rd
Ste 110
Tucson, AZ 85748
Phone (520) 917-0666

9660 E 22nd St
Ste 160
Tucson, AZ 85748
Phone (520) 719-0666

Practitioners & affiliated clinicians

Practitioners 10

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": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649808000000",
    "number": "1902013006",
    "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": "714-508-3600",
            "fax_number": "714-368-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 S HARRISON RD STE 110",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857486603",
            "telephone_number": "520-917-0666",
            "fax_number": "520-917-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPANISH TRAIL DENTAL GROUP, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A",
        "authorized_official_last_name": "STEARS",
        "authorized_official_first_name": "BART",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "520-917-0666",
        "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": "Dentists of Tucson",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SPANISH TRAIL 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 Apr 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.