Dennis C De Mesa, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

54245 Issued in CA

Practice address

75 N Santa Anita Ave Ste 105
Arcadia, CA 91006-3157

Phone

(626) 482-0347

NPI assigned

Oct 4, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265527022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 N SUNNYSLOPE AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911072733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 N SANTA ANITA AVE STE 105",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063157",
            "telephone_number": "626-482-0347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE MESA",
        "first_name": "DENNIS",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "54245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia De la Rocha, NP
• Abraham De la Torre, ACSW
• Jaime Alexander De Leon, MSW
• Nora Abigail De Leon
• Victor De Los Santos, D,D.S.
• Johanna De Silva
• Richard B Deatsch, M.D.
• Deborah Duan OD, Aoc (Infocus Vision Optometric Center)
• Samantha Dee
• Kayla Defrance

• General Practice Dentistry in Arcadia, CA
• Providers in Arcadia, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.