DR. KEVIN M MORTENSON (NPI# 1790092476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790092476 |
| Entity Type | Individual |
| Full Name | DR. KEVIN M MORTENSON |
| Credential | D.M.D. |
| Practice Address |
10127 N Blue Crossing Way Tucson AZ 85743-5219 |
| Practice Telephone | 5205057761 |
| Mailing Telephone | 5205057761 |
| Enumeration Date | 2010-09-01 |
| Last Update Date | 2010-09-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D8072 | AZ | Dental Providers |
| Street Address |
10127 N BLUE CROSSING WAY |
| City | TUCSON |
| State | AZ |
| Zip Code | 85743-5219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356857338 | Catherine Fisher | Massage Therapist | 7455 W Twin Peaks Rd Ste 111, Tucson, AZ 85743 | 2017-12-28 |
| 1497128995 | Cherie Kay Gaither | Registered Nurse | 3233 S. Pinal Vista, Tucson, AZ 85743 | 2015-11-05 |
| 1487939211 | Spanish Trail Pediatric Dental Partners, LLP | Dentist | 9565 E. 22nd Street Suite 143, Tucson, AZ 85743 | 2011-10-12 |
| 1174745319 | Hanna Phan | Pharmacist | 1295 North Martin Ave, Tucson, AZ 85743 | 2007-05-03 |
| 1912034695 | Carmen Ruiz Drummond | Psychiatry & Neurology | 8185 N Stonehill Dr, Tucson, AZ 85743 | 2007-02-28 |
| 1356492193 | Diane E. Carrillo | Physical Therapist | 7759 N Silverbell Rd Apt 10105, Tucson, AZ 85743 | 2007-01-16 |
| 1174696496 | Nationwide Vision Center, LLC | Technician/Technologist | 5960 West Pavillions Drive, Suite 130, Tucson, AZ 85743 | 2006-11-16 |
| 1205921202 | Foothills Sports Medicine & Rehabilitation- Tucson, Inc | Physical Therapist | 7575 W. Twin Peaks Rd, Suite 155, Tucson, AZ 85743 | 2006-10-04 |
| 1679682900 | Northwest Medical Center Ct Mri At Marana LLC | Clinic/Center | 8333 N Silverbell, Suite 121, Marana, AZ 85743 | 2006-08-30 |
| 1508875923 | Brian James Midei | Dentist | 8295 N Cortaro Road, Suite 137, Tucson, AZ 85743 | 2006-08-05 |
| Find all providers in zip 85743 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871191197 | Dentalpros, LLC | Dentist | 225 E Valencia Rd Ste 135, Tucson, AZ 85706-6866 | 2020-10-09 |
| 1457958928 | Eesha Katarya | Dentist | 1060 S Harrison Rd Ste 110, Tucson, AZ 85748-6603 | 2020-10-07 |
| 1285243907 | James Bryan Madril | Dentist | 1218 W Irvington Rd, Tucson, AZ 85714-1136 | 2020-07-28 |
| 1669026167 | Midvale Park Dental Partners LLC | Dentist | 1979 W Valencia Rd, Tucson, AZ 85746 | 2019-08-01 |
| 1366001430 | Carlos A Rodriguez | Dentist | 3208 E Fort Lowell Rd Ste 101, Tucson, AZ 85716-1625 | 2019-06-11 |
| 1619448859 | Marie Anne Robillard | Dentist | 1601 N Tucson Blvd Ste 24, Tucson, AZ 85716-3407 | 2018-12-16 |
| 1881180669 | Alexandra Trinidad Quiroz Martin | Dentist | 5445 N Kolb Rd Ste 205, Tucson, AZ 85750-0750 | 2018-07-05 |
| 1356871552 | Kirsten Linaker | Dentist | 2300 N Craycroft Rd Ste 3, Tucson, AZ 85712-2808 | 2017-06-19 |
| 1811427073 | Samip Patel | Dentist | 8160 S Houghton Rd Ste 130, Tucson, AZ 85747-9720 | 2017-06-19 |
| 1003353822 | Lenny W Arias Dds Pllc | Dentist | 4955 N Sabino Canyon Rd, Suite 103, Tucson, AZ 85750-6491 | 2017-01-31 |
| Find all providers in TUCSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.