Active NPI
A T Still University of Health Sciences
Doing business as The Center for Advanced Oral Health
- Dentist
- Mesa, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- A T STILL UNIVERSITY OF HEALTH SCIENCES
- Doing business as
- The Center for Advanced Oral Health
- Practice address
- 5835 E Still Cir
Mesa, AZ 85206-3618 - Phone
- (480) 248-8107
- Fax
- (623) 223-7073
- NPI assigned
- May 25, 2007
- Last updated
- Mar 17, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mindy Motahari, DMD
- Title
- Dean
- Phone
- (480) 248-8162
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary | ||
| General Practice Dentistry | 1223G0001X | |||
| Oral and Maxillofacial Pathology Dentistry | 1223P0106X | |||
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | |||
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | |||
| Orofacial Pain Dentistry | 1223X2210X |
Addresses
Primary practice location
5835 E Still Cir
Mesa, AZ 85206-3618
Mailing address
5835 E Still Cir
Mesa, AZ 85206-3618
Phone (480) 219-6183
Other practice location 1
5855 E Still Cir
Mesa, AZ 85206-3618
Phone (480) 248-8100
Other names 1
- The Center for Advanced Oral Health
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130520000705 | AZ | Part B Supplier - Clinic/Group Practice | 3971404120 |
Receives reassigned benefits from 7 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Mesa, AZ |
| O20131101000594 | AZ | DME Supplier - Oral Surgery - Dentist | 3971404120 | Practice locations: Mesa, AZ |
Other NPIs with the same Medicare PAC ID 3
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba The AFA Balance & Hearing Institute
- Audiologist
- Mesa, AZ
- NPI 1346586468
3971404120
-
- Family Medicine Physician
- Kirksville, MO
- NPI 1164484887
3971404120
-
- Rural Health Clinic/Center
- Kirksville, MO
- NPI 1245051895
3971404120
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba The AFA Balance & Hearing Institute
- Audiologist
- Mesa, AZ
- NPI 1346586468
O20130520000705
-
dba Arizona School of Dentistry & Oral Health
- Dentist
- Glendale, AZ
- NPI 1730529942
O20130520000705
National Provider Directory
National Provider DirectoryLocations
5850 E Still Cir
Mesa, AZ 85206
Phone (480) 219-6000
5855 E Still Cir
Mesa, AZ 85206
Phone (480) 219-6000
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Audiologist
- Gilbert, AZ
- NPI 1306611603
-
- Audiologist
- Mesa, AZ
- NPI 1144203837
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180051200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742169600000",
"number": "1285845776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5835 E STILL CIR",
"city": "MESA",
"state": "AZ",
"postal_code": "852063618",
"telephone_number": "480-219-6183",
"fax_number": "480-907-2194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5835 E STILL CIR",
"city": "MESA",
"state": "AZ",
"postal_code": "852063618",
"telephone_number": "480-248-8107",
"fax_number": "623-223-7073"
}
],
"practiceLocations": [
{
"address_1": "5855 E Still Cir",
"address_purpose": "LOCATION",
"city": "Mesa",
"state": "AZ",
"postal_code": "852063618",
"country_code": "US",
"telephone_number": "480-248-8100",
"fax_number": "480-248-8199",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "A T STILL UNIVERSITY OF HEALTH SCIENCES",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-25",
"last_updated": "2025-03-17",
"certification_date": "2025-03-17",
"status": "A",
"authorized_official_last_name": "MOTAHARI",
"authorized_official_first_name": "MINDY",
"authorized_official_title_or_position": "DEAN",
"authorized_official_telephone_number": "480-248-8162",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223P0106X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Pathology",
"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": "1223X0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223X2210X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Orofacial Pain",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The Center for Advanced Oral Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mesa, AZ
- A Place to Call Home, Inc.
- A Renewed Mindset LLC
- A Safe Haven Youth & Family Services, LLC
- A Safe Haven Youth & Family Services, LLC
- A Step Up Behavioral Services LLC
- A T Still University of Health Sciences (The AFA Balance & Hearing Institute)
- A Truessence of Healthcare LLC
- A Willows Grace
- A Woman's Place, LLC
- A.F.C. Transportation, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; 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.