NPIMap

Organization Active NPI

D3C Dental,PLC

  • Public Health Dentistry
  • Mesa, AZ
National Provider Identifier
1053969568
Registry record updated Aug 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
Legal business name
D3C DENTAL,PLC
Practice address
3048 E Baseline Rd Ste 128
Mesa, AZ 85204-7288
Phone
(480) 820-6080
NPI assigned
Aug 28, 2019
Last updated
Aug 28, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2019

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

Authorized official

Name
Chassity Nicole Gomez
Title
Ins Coordinator
Phone
(480) 589-2273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223D0001X Primary

Addresses

Primary practice location

3048 E Baseline Rd Ste 128
Mesa, AZ 85204-7288

Mailing address

3048 E Baseline Rd Ste 128
Mesa, AZ 85204-7288
Phone (480) 820-6080

National Provider Directory

National Provider Directory

Locations

3048 E Baseline Rd
Ste 128
Mesa, AZ 85204
Phone (480) 820-6080

Practitioners & affiliated clinicians

Practitioners 2

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": "1566950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566950400000",
    "number": "1053969568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3048 E BASELINE RD STE 128",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852047288",
            "telephone_number": "480-820-6080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3048 E BASELINE RD STE 128",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852047288",
            "telephone_number": "480-820-6080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D3C DENTAL,PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-28",
        "last_updated": "2019-08-28",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "CHASSITY",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "INS COORDINATOR",
        "authorized_official_telephone_number": "480-589-2273"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "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 Aug 28, 2019; 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.