Organization Active NPI

Mesa Smiles Dentistry

  • Dentist
  • Mesa, AZ
National Provider Identifier
1053022129
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MESA SMILES DENTISTRY
Practice address
849 N Dobson Rd Ste 108
Mesa, AZ 85201-7596
Phone
(480) 834-7777
NPI assigned
Dec 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2022

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

Authorized official

Name
Alhareth Dhari, DMDNPI 1740772706
Title
Owner
Phone
(716) 430-5757

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary
Dental Clinic/Center 261QD0000X

Addresses

Primary practice location

849 N Dobson Rd Ste 108
Mesa, AZ 85201-7596

Mailing address

6035 N 83Rd St
Scottsdale, AZ 85250-5841
Phone (716) 430-5757

Other names 1

  • mesa dental home Doing business as

National Provider Directory

National Provider Directory

Locations

849 N Dobson Rd
Ste 108
Mesa, AZ 85201
Phone (480) 834-7777

Practitioners & affiliated clinicians

Practitioners 6

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": "1670544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670544000000",
    "number": "1053022129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6035 N 83RD ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852505841",
            "telephone_number": "716-430-5757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "849 N DOBSON RD STE 108",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852017596",
            "telephone_number": "480-834-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MESA SMILES DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-09",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A",
        "authorized_official_last_name": "DHARI",
        "authorized_official_first_name": "ALHARETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-430-5757",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "mesa dental home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 9, 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.