Organization Active NPI

D-C Dental Center PLC

  • Dentist
  • Mesa, AZ
National Provider Identifier
1053581132
Registry record updated Mar 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2132 Issued in AZ
Legal business name
D-C DENTAL CENTER PLC
Practice address
1545 E University Dr
Mesa, AZ 85203-8132
Phone
(480) 834-9001
Fax
(480) 844-8206
NPI assigned
Mar 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2008

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

Authorized official

Name
Dr. Gerald Lee Diquattro, D.D.S.
Title
Dentist
Phone
(480) 834-9001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 2132 AZ Primary

Addresses

Primary practice location

1545 E University Dr
Mesa, AZ 85203-8132

Mailing address

1545 E University Dr
Mesa, AZ 85203-8132
Phone (480) 834-9001

National Provider Directory

National Provider Directory
Tax ID family
D-C Dental Center PLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1053581132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 E UNIVERSITY DR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852038132",
            "telephone_number": "480-834-9001",
            "fax_number": "480-844-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 E UNIVERSITY DR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852038132",
            "telephone_number": "480-834-9001",
            "fax_number": "480-844-8206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D-C DENTAL CENTER PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "DIQUATTRO",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "480-834-9001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "2132",
            "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 Mar 5, 2008; 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.