Organization Active NPI

Mark S. Hamblin, D.D.S., P.C.

  • Dentist
  • Mesa, AZ
National Provider Identifier
1144342155
Registry record updated Jan 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4140 Issued in AZ
Legal business name
MARK S. HAMBLIN, D.D.S., P.C.
Practice address
6755 E Superstition Springs Blvd
Suite #202
Mesa, AZ 85206-4373
Phone
(480) 981-3311
NPI assigned
Apr 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2011

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

Authorized official

Name
Dr. Mark S Hamblin, D.D.S.NPI 1558584045
Title
Owner-Dentist
Phone
(480) 981-3311

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 4140 AZ Primary

Addresses

Primary practice location

6755 E Superstition Springs Blvd
Suite #202
Mesa, AZ 85206-4373

Mailing address

6755 E Superstition Springs Blvd
Suite #202
Mesa, AZ 85206-4373
Phone (480) 981-3311

National Provider Directory

National Provider Directory

Locations

6755 E Superstition Springs Blvd
Ste 202
Mesa, AZ 85206
Phone (480) 981-3311

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295308800000",
    "number": "1144342155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6755 E SUPERSTITION SPRINGS BLVD",
            "address_2": "SUITE #202",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064373",
            "telephone_number": "480-981-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6755 E SUPERSTITION SPRINGS BLVD",
            "address_2": "SUITE #202",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064373",
            "telephone_number": "480-981-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK S. HAMBLIN, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2011-01-18",
        "status": "A",
        "authorized_official_last_name": "HAMBLIN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER-DENTIST",
        "authorized_official_telephone_number": "480-981-3311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "4140",
            "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 Jan 18, 2011; 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.