Desert Star Dental, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DESERT STAR DENTAL, PLLC

Doing business as

Mirador Dental

Practice address

894 E Warner Rd # B105
Gilbert, AZ 85296-2935

Phone

(480) 471-8553

NPI assigned

Aug 8, 2018

Organization subpart

No

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

Authorized official

Name

Maria Fatima Lewis, DMD

Title

Owner

Phone

(510) 289-2261

Specialties & licenses 1

Addresses

Other names 1

• Mirador Dental Doing business as

Locations

Practitioners 1

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

• Maria Fatima Bisquera Lewis, DMD

  • Dentist
  • Scottsdale, AZ
  • NPI 1568871093
  NPD

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

{
    "created_epoch": "1533686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533686400000",
    "number": "1114406329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 W JASPER DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852338333",
            "telephone_number": "510-289-2261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "894 E WARNER RD # B105",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852962935",
            "telephone_number": "480-471-8553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT STAR DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-08",
        "last_updated": "2018-08-08",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "FATIMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-289-2261",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mirador Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Desert Valley Oral Surgery

• Dental Clinic/Center in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Dental Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2018; 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.