NPIMap

Organization Active NPI

Kerr Endodontics P C

  • Orofacial Pain Dentistry
  • Gilbert, AZ
National Provider Identifier
1215327507
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orofacial Pain DentistryTaxonomy code 1223X2210X
Legal business name
KERR ENDODONTICS P C
Practice address
1355 S Higley Rd
Suite 116
Gilbert, AZ 85296-4799
Phone
(480) 545-4120
Fax
(480) 545-4123
NPI assigned
Jan 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Authorized official

Name
Mark A KerrNPI 1144392515
Title
Owner/Provider
Phone
(480) 250-4120

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223E0200X
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X
Orofacial Pain DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X2210X Primary

Addresses

Primary practice location

1355 S Higley Rd
Suite 116
Gilbert, AZ 85296-4799

Mailing address

1355 S Higley Rd Ste 116
Gilbert, AZ 85296-4789
Phone (480) 545-4120

Other names 1

  • SAN TAN ENDODONTICS, P.C. Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20251203004110 AZ Part B Supplier - Clinic/Group Practice 7911490305 Receives reassigned benefits from 2 practitioners
Practice locations: Gilbert, AZ
O20260224003225 AZ DME Supplier - Oral Surgery - Dentist 7911490305 Practice locations: Gilbert, AZ

National Provider Directory

National Provider Directory

Locations

1355 S Higley Rd
Ste 116
Gilbert, AZ 85296
Phone (480) 545-4120

Practitioners & affiliated clinicians

Practitioners 3

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": "1422230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777334400000",
    "number": "1215327507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 S HIGLEY RD STE 116",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852964789",
            "telephone_number": "480-545-4120",
            "fax_number": "480-545-4123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 S HIGLEY RD",
            "address_2": "SUITE 116",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852964799",
            "telephone_number": "480-545-4120",
            "fax_number": "480-545-4123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERR ENDODONTICS P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-26",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A",
        "authorized_official_last_name": "KERR",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "480-250-4120"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X2210X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orofacial Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAN TAN ENDODONTICS, P.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.