Oro Valley Pediatric Dentistry PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

ORO VALLEY PEDIATRIC DENTISTRY PLLC

Doing business as

Oro Valley Pediatric Dentistry

Practice address

8351 N Oracle Rd
Tucson, AZ 85704-7313

Phone

(520) 297-5900

NPI assigned

Nov 28, 2022

Last updated

Nov 28, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Andrew Stucki

Title

Owner

Phone

(208) 680-0186

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Oro Valley Pediatric Dentistry Doing business as

Electronic endpoints 1

Practitioners 1

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.

• Michael Lacorte, D.D.S.

  • Pediatric Dentistry
  • Oro Valley, AZ
  • NPI 1962468702
  NPD (past)

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669593600000",
    "number": "1912617382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8351 N ORACLE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857047313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8351 N ORACLE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857047313",
            "telephone_number": "520-297-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORO VALLEY PEDIATRIC DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-28",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A",
        "authorized_official_last_name": "STUCKI",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-680-0186"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992226641",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info@orovalleypediatricdentistry.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8351 N Oracle Rd",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857047313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Oro Valley Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Oro Valley Hospital LLC (Northwest Emergency Ctr at Marana)
• Oro Valley Psychiatric Services
• Oro Valley Psychiatry, PLLC
• Oro Valley Vein Center LLC
• Cristine E Oropez, M.D.
• Maria C Orourke, MD

• Pediatric Dentistry in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Pediatric Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.