My Pediatric Dentist PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

MY PEDIATRIC DENTIST PLLC

Practice address

5215 E Southern Ave
Mesa, AZ 85206-2777

Phone

(480) 833-2232

NPI assigned

Dec 2, 2025

Organization subpart

No

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

Authorized official

Name

Austin McHenry, DMDNPI 1255951174

Title

Partner

Phone

(602) 384-7506

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Austin Ryan McHenry, DMD

  • Pediatric Dentistry
  • Phoenix, AZ
  • NPI 1255951174
  NPD Authorized official

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

{
    "created_epoch": "1764633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764633600000",
    "number": "1063374593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 S VINEYARD STE 153",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5215 E SOUTHERN AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852062777",
            "telephone_number": "480-833-2232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY PEDIATRIC DENTIST PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-02",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A",
        "authorized_official_last_name": "MCHENRY",
        "authorized_official_first_name": "AUSTIN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "602-384-7506",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• My Dentist Enterprises, Inc.
• My House LLC
• My House LLC.
• My Mindful Birth Arizona LLC
• My Ortho Dentist Higley
• My Time Dental Centers
• Ashley Marie Myers
• Louise Margaret Myers, NBC-HIS
• Nicole Myers, FNP-C
• Robin Lynn Myers, MA CCC SLP

• Pediatric Dentistry in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Pediatric Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; 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.