NPIMap

Organization Active NPI

Just Dental

  • Dentist
  • Mesa, AZ
National Provider Identifier
1023862463
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
JUST DENTAL
Practice address
67 N Dobson Rd Ste 105
Mesa, AZ 85201-6824
Phone
(480) 866-8642
Fax
(602) 887-3978
NPI assigned
Apr 12, 2024
Last updated
Apr 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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

Authorized official

Name
Dr. Michelle Ly, DMDNPI 1992328058
Title
Officer
Phone
(480) 866-8642

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
Dentist 122300000X NU Primary

Addresses

Primary practice location

67 N Dobson Rd Ste 105
Mesa, AZ 85201-6824

Mailing address

67 N Dobson Rd Ste 105
Mesa, AZ 85201-6824
Phone (480) 866-8642

National Provider Directory

National Provider Directory

Locations

67 N Dobson Rd
Ste 105
Mesa, AZ 85201
Phone (480) 866-8642

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1712880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712880000000",
    "number": "1023862463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 N DOBSON RD STE 105",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852016824",
            "telephone_number": "480-866-8642",
            "fax_number": "602-887-3978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 N DOBSON RD STE 105",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852016824",
            "telephone_number": "480-866-8642",
            "fax_number": "602-887-3978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUST DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-12",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A",
        "authorized_official_last_name": "LY",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "480-866-8642",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; 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.