Individual provider Active NPI

Nicole Sirounian, DMD

  • Dentist
  • Oro Valley, AZ
National Provider Identifier
1952954760
Registry record updated Jul 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D010450 Issued in AZ
Practice address
7645 N Oracle Rd Ste 120
Oro Valley, AZ 85704-6569
Phone
(520) 797-9061
NPI assigned
Jul 20, 2019
Last updated
Jul 20, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D010450 AZ Primary

Addresses

Primary practice location

7645 N Oracle Rd Ste 120
Oro Valley, AZ 85704-6569

Mailing address

10645 N Oracle Rd
Ste 121 PMB 124
Oro Valley, AZ 85737-9388
Phone (520) 780-1502

Other practice location 1

4386 N Oracle Rd Ste 198
Tucson, AZ 85705-5146
Phone (520) 887-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tortolita Dental Group and Orthodontics, LLP Dentist Past Accepting new patients
Oracle Modern Dentistry and Orthodontics, LLP Dentist Past Accepting new patients
Catalina Smiles, LLP General Practice PastSince Jul 28, 2019 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1563580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563580800000",
    "number": "1952954760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10645 N ORACLE RD",
            "address_2": "STE 121 PMB 124",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857379388",
            "telephone_number": "520-780-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7645 N ORACLE RD STE 120",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857046569",
            "telephone_number": "520-797-9061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4386 N Oracle Rd Ste 198",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857055146",
            "country_code": "US",
            "telephone_number": "520-887-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIROUNIAN",
        "first_name": "NICOLE",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-20",
        "last_updated": "2019-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D010450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oro Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2019; 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.