A T Still University of Health Sciences
Organization Active NPI Dentist · Mesa, AZ
NPI 1285845776 · NPPES record last updated Mar 17, 2025
Key facts
- NPI
- 1285845776
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- Legal business name
- A T STILL UNIVERSITY OF HEALTH SCIENCES
- Practice address
- 5835 E Still Cir
Mesa, AZ 85206-3618 - Phone
- (480) 248-8107
- Fax
- (623) 223-7073
- NPI assigned
- May 25, 2007
- Organization subpart
- No
Authorized official
- Name
- Mindy Motahari, DMD
- Title
- Dean
- Phone
- (480) 248-8162
Other NPIs on the same Medicare enrollment 2
Other NPIs with the same Medicare PAC ID 3
Practitioners 22
-
Soha Garadat, M.SC. PHD
-
Jill E. Kerr, D.O.
-
Mindy Zahra Motahari, DMD
-
Franchesca L Cook, P.A.
-
Brian Degenhardt, D.O.
-
Valena Fiscus, D.O.
-
Melanie S. Grgurich, D.O.
-
Ming-Tse Kao, DO
-
Jonathon R Kirsch, D.O.
-
Tysen J Petre, D.O.
-
George A. Pipes, D.O.
-
Eric J Snider, D.O.
-
Karen T Snider, D.O.
-
Robert W Sparks, D.O.
-
Billy W Strait, D.O.
-
Joel Alan Wells, D.O.
-
Meadow Will, DO
-
Amber Wireman, DO
-
Robin Terry Jones, AU.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AZ
Medicare enrollment records
| 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 |
National Provider Directory
Locations
5850 E Still Cir
Mesa, AZ 85206
Phone (480) 219-6000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | Yes | ||
| 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
- The Center for Advanced Oral Health
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
- 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. Record last updated by the provider on Mar 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.