Organization Active NPI

Dispatch Dental LLC

  • Dentist
  • Tempe, AZ
National Provider Identifier
1003526401
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DISPATCH DENTAL LLC
Practice address
1403 W 10TH PL Ste B104
Tempe, AZ 85281-5256
Phone
(623) 584-4746
NPI assigned
Nov 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2022

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

Authorized official

Name
Dr. Gregory Pifer, DMD
Title
Manager
Phone
(480) 209-2525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1403 W 10TH PL Ste B104
Tempe, AZ 85281-5256

Mailing address

9759 E Lobo Ave
Mesa, AZ 85209-2551
Phone (480) 209-2525

Other names 1

  • Smiles by Delivery Doing business as

National Provider Directory

National Provider Directory

Locations

1403 W 10th Pl
Ste B104
Tempe, AZ 85281
Phone (623) 584-4746

NPI Registry JSON

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669593600000",
    "number": "1003526401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9759 E LOBO AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852092551",
            "telephone_number": "480-209-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 W 10TH PL STE B104",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852815256",
            "telephone_number": "623-584-4746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISPATCH DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-28",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A",
        "authorized_official_last_name": "PIFER",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "480-209-2525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smiles by Delivery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; 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.