1915 Dental PLLC
NPI 1639643059 · Customized Equipment (DME) · Tubac, AZ
Enrolled with Medicare as Dme Supplier - Oral Surgery - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
1915 Dental PLLC is a Customized Equipment (DME) organization in Tubac, AZ (NPI 1639643059).
Provider details
- NPI number
- 1639643059
- Entity type
- Organization
- Primary specialty
- Customized Equipment (DME)Suppliers
- Organization subpart
- No
- Authorized official
- Alex Foor, Owner/Dentist(520) 398-8408
Specialties & taxonomies
Suppliers
- Dentist122300000X
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Tubac Dental
- Doing business as
- Tubac Dental
Registry dates
- Enumerated
- 2019-01-18
- Last updated
- 2024-12-11
- Certified
- 2024-12-11
Frequently asked questions
- What is 1915 Dental PLLC's NPI number?
- 1915 Dental PLLC's National Provider Identifier (NPI) is 1639643059, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 1915 Dental PLLC?
- 1915 Dental PLLC is classified in the NPPES registry as Customized Equipment (DME) (Suppliers).
- Where is 1915 Dental PLLC located?
- 1915 Dental PLLC's practice location on file with NPPES is 2221 E Frontage Rd, Tubac, AZ 85646.
- What is 1915 Dental PLLC's phone number?
- The practice phone number listed in the NPPES registry for 1915 Dental PLLC is (520) 398-8408.
- Does 1915 Dental PLLC accept Medicare?
- 1915 Dental PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for 1915 Dental PLLC?
- The authorized official listed on 1915 Dental PLLC's NPPES record is Alex Foor, Owner/Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 1915 Dental PLLC's NPI active?
- Yes — 1915 Dental PLLC's NPI (1639643059) is active in the NPPES registry as of the last update on 2024-12-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.