NPIMap

Organization Active NPI

Fair Dentistry

  • Dentist
  • Marana, AZ
National Provider Identifier
1982826558
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5947 Issued in AZ
Legal business name
FAIR DENTISTRY
Practice address
13455 N. Lon Adams Road
Marana, AZ 85653-0936
Phone
(520) 616-0790
Fax
(520) 616-0921
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Michael Carlton Fair, DDSNPI 1972766277
Title
Owner
Phone
(520) 616-0790

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 5947 AZ Primary

Addresses

Primary practice location

13455 N. Lon Adams Road
Marana, AZ 85653-0936

Mailing address

PO Box 936
13455 N. Lon Adams Road
Marana, AZ 85653-0936
Phone (520) 616-0790

Other names 1

  • Marana Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

13455 N Lon Adams Rd
Marana, AZ 85653
Phone (520) 616-0790

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982826558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936",
            "address_2": "13455 N. LON ADAMS ROAD",
            "city": "MARANA",
            "state": "AZ",
            "postal_code": "856530936",
            "telephone_number": "520-616-0790",
            "fax_number": "520-616-0921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13455 N. LON ADAMS ROAD",
            "city": "MARANA",
            "state": "AZ",
            "postal_code": "856530936",
            "telephone_number": "520-616-0790",
            "fax_number": "520-616-0921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIR DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FAIR",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "CARLTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-616-0790",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "5947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marana Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marana, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.