Donald Tune Hom, DDS

Primary specialty

Dental AnesthesiologyTaxonomy code 1223D0004X

License

D5819 Issued in AZ

Practice address

625 W Southern Ave
Suite E-145
Mesa, AZ 85210-5030

Phone

(480) 922-2669

Fax

(866) 472-4740

NPI assigned

Nov 21, 2006

Last updated

Jun 30, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467244800000",
    "number": "1972678704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11440 N 65TH ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852545019",
            "telephone_number": "480-922-2669",
            "fax_number": "866-472-4740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 W SOUTHERN AVE",
            "address_2": "SUITE E-145",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852105030",
            "telephone_number": "480-922-2669",
            "fax_number": "866-472-4740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOM",
        "first_name": "DONALD",
        "middle_name": "TUNE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2016-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "5819",
            "primary": false
        },
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "AZ",
            "license": "D5819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachelle Holt, DPT
• Nicole Elizabeth Holthouse, FNP-C
• Emily J Holton, LPCC
• Karen Holtz, APRN, PMHNP-BC
• Evelyn Holy, M.S. BCBA LBA
• Home and Hands Total Care LLC
• Home Health Providers LLC
• Home Integrity Medical LLC
• Alexander Homer, DMD
• Homeward Hospice LLC

• Dental Anesthesiology in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Dental Anesthesiology in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2016; 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.