Organization Active NPI

Elliot Smiles Dentistry, LLP

  • General Practice Dentistry
  • Mesa, AZ
National Provider Identifier
1124940853
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ELLIOT SMILES DENTISTRY, LLP
Practice address
3539 S Ellsworth Rd Ste 101
Mesa, AZ 85212-2751
Phone
(480) 682-5901
Fax
(480) 576-2587
NPI assigned
Jul 27, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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

Authorized official

Name
Miran Ho, DDS
Title
Owner
Phone
(480) 682-5901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3539 S Ellsworth Rd Ste 101
Mesa, AZ 85212-2751

Mailing address

PO Box 660041
Dallas, TX 75266-0041
Phone (714) 845-8890

Other names 1

  • Elliot Smiles Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

3539 S Ellsworth Rd
Ste 101
Mesa, AZ 85212

NPI Registry JSON

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

{
    "created_epoch": "1785110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785110400000",
    "number": "1124940853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660041",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752660041",
            "telephone_number": "714-845-8890",
            "fax_number": "303-952-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3539 S ELLSWORTH RD STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852122751",
            "telephone_number": "480-682-5901",
            "fax_number": "480-576-2587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIOT SMILES DENTISTRY, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-27",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A",
        "authorized_official_last_name": "HO",
        "authorized_official_first_name": "MIRAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-682-5901",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elliot Smiles Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 27, 2026; 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.