Active NPI
Talia Shumway Gubler, RDH
- Dental Hygienist
- Mesa, AZ
National Provider Identifier
1295399376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- H009209
- Practice address
- 2158 N Gilbert Rd Ste 123
Mesa, AZ 85203-2111 - Phone
- (480) 649-7200
- NPI assigned
- Apr 24, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | H009209 | AZ | Primary |
Addresses
Primary practice location
2158 N Gilbert Rd Ste 123
Mesa, AZ 85203-2111
Mailing address
PO Box 30311
Mesa, AZ 85275-0311
Phone (928) 457-7940
Other practice location 1
1601 W Apache Trl Ste 2
Apache Junction, AZ 85120-3769
Phone (480) 982-4200
Other practice location 2
1056 S Val Vista Dr Ste 1
Mesa, AZ 85204-5625
Phone (480) 834-6991
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H009209 | AZ | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sun West Dental III, LLC | Past | Accepting new patients | |
| DRS of Smiles PC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Scott Lesueur and Charles Dodaro DDS
- Exclusive Provider Organization
- Mesa, AZ
- NPI 1952488710
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556064000000",
"number": "1295399376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 30311",
"city": "MESA",
"state": "AZ",
"postal_code": "852750311",
"telephone_number": "928-457-7940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2158 N GILBERT RD STE 123",
"city": "MESA",
"state": "AZ",
"postal_code": "852032111",
"telephone_number": "480-649-7200"
}
],
"practiceLocations": [
{
"address_1": "1601 W Apache Trl Ste 2",
"address_purpose": "LOCATION",
"city": "Apache Junction",
"state": "AZ",
"postal_code": "851203769",
"country_code": "US",
"telephone_number": "480-982-4200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1056 S Val Vista Dr Ste 1",
"address_purpose": "LOCATION",
"city": "Mesa",
"state": "AZ",
"postal_code": "852045625",
"country_code": "US",
"telephone_number": "480-834-6991",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUBLER",
"first_name": "TALIA",
"middle_name": "SHUMWAY",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-24",
"last_updated": "2019-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "AZ",
"license": "H009209",
"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 Apr 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.