NPIMap

Organization Active NPI

Tuscano Dental

  • Dental Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1942410741
Registry record updated Apr 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
5995 Issued in AZ
Legal business name
TUSCANO DENTAL
Doing business as
Tuscano Dental
Practice address
4017 N. 75TH Ave,
Phoenix, AZ 85033
Phone
(623) 907-9334
Fax
(623) 474-2876
NPI assigned
May 23, 2007
Last updated
Apr 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2023

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

Authorized official

Name
Dr. Peter Phuoc Nguyen, DMDNPI 1841289188
Title
Dentist/Owner
Phone
(623) 907-9334

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 5995 AZ Primary

Addresses

Primary practice location

4017 N. 75TH Ave,
Phoenix, AZ 85033

Mailing address

4017 N. 75TH Ave,
Phoenix, AZ 85033
Phone (623) 907-9334

Other identifiers 1

IdentifierTypeStateIssuer
411608MedicaidAZ

Other names 1

  • Tuscano Dental Doing business as

National Provider Directory

National Provider Directory

Locations

7435 W Lower Buckeye Rd
Ste 108
Phoenix, AZ 85043
Phone (623) 907-9334

Practitioners & affiliated clinicians

Practitioners 2

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": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680912000000",
    "number": "1942410741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4017 N. 75TH AVE,",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85033",
            "telephone_number": "623-907-9334",
            "fax_number": "623-474-2876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4017 N. 75TH AVE,",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85033",
            "telephone_number": "623-907-9334",
            "fax_number": "623-474-2876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUSCANO DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2023-04-08",
        "certification_date": "2023-04-08",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "PHUOC",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "623-907-9334",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AZ",
            "license": "5995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "411608",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tuscano Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tuscano Dental",
            "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 Apr 8, 2023; 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.