Organization Active NPI

Endodontic Specialists LTD

  • Endodontics
  • Mesa, AZ
National Provider Identifier
1083668230
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
ENDODONTIC SPECIALISTS LTD
Practice address
2220 W Southern Avenue
Suite #102
Mesa, AZ 85202-4704
Phone
(480) 834-7100
Fax
(480) 833-3134
NPI assigned
May 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Robert Andrew Lees II, DDS MS
Title
President
Phone
(480) 834-7100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

2220 W Southern Avenue
Suite #102
Mesa, AZ 85202-4704

Mailing address

2220 W Southern Avenue
Suite #102
Mesa, AZ 85202-4704
Phone (480) 834-7100

National Provider Directory

National Provider Directory

Locations

2220 W Southern Ave
Ste 102
Mesa, AZ 85202
Phone (480) 834-7100

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083668230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 W SOUTHERN AVENUE",
            "address_2": "SUITE #102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024704",
            "telephone_number": "480-834-7100",
            "fax_number": "480-833-3134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 W SOUTHERN AVENUE",
            "address_2": "SUITE #102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024704",
            "telephone_number": "480-834-7100",
            "fax_number": "480-833-3134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDODONTIC SPECIALISTS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEES",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-834-7100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "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 22, 2020; 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.