Individual provider Active NPI

Mandeep Vermani, DDS

  • Orofacial Pain Dentistry
  • Mesa, AZ
National Provider Identifier
1295898054
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orofacial Pain DentistryTaxonomy code 1223X2210X
License
D06920 Issued in AZ
Practice address
455 N Mesa Dr Ste 11
Mesa, AZ 85201-5936
Phone
(623) 428-9949
Fax
(623) 428-9962
NPI assigned
Dec 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D6920 AZ
Orofacial Pain Dentistry 1223X2210X D06920 AZ Primary

Addresses

Primary practice location

455 N Mesa Dr Ste 11
Mesa, AZ 85201-5936

Mailing address

PO Box 22270
Phoenix, AZ 85028-0270
Phone (623) 428-9949

Other practice location 1

18731 N Reems Rd Ste F-620
Surprise, AZ 85374-8644
Phone (623) 428-9949

Other practice location 2

1701 E Thomas Rd Ste 203
Phoenix, AZ 85016-7674
Phone (623) 428-9949

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100204000103 AZ Practitioner - Maxillofacial Surgery 6901949569 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Maxillofacial Surgery
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

455 N Mesa Dr
Suite 11
Mesa, AZ 85201-5936
Phone (623) 428-9949

Merit-based Incentive Payment System (MIPS)

Final score
89.48 of 100Reported as group
Quality
78.95
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D6920AZMDGeneral Practice Dentistry
D06920AZMDOrofacial Pain Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Mandeep Vermani DDS PLLC General Practice CurrentSince Mar 19, 2007 Accepting new patients
Mandeep Vermani DDS PLLC Current Accepting new patients

Locations

18301 N 79th Ave
Ste C135
Glendale, AZ 85308
Phone (602) 633-2247

1911 W Main St
Ste 6
Mesa, AZ 85201
Phone (480) 838-4185

455 N Mesa Dr
Ste 11
Mesa, AZ 85201
Phone (480) 207-7560

2220 W Southern Ave
Ste 102
Mesa, AZ 85202
Phone (480) 834-7100

13360 N 94th Dr
Ste B
Peoria, AZ 85381
Phone (623) 972-7559

1701 E Thomas Rd
Ste 203
Phoenix, AZ 85016
Phone (602) 252-6120

10603 N Hayden Rd
Ste H112
Scottsdale, AZ 85260
Phone (480) 922-9933

18731 N Reems Rd
Ste F620
Surprise, AZ 85374
Phone (623) 556-1294

18731 N Reems Rd
Ste 7620
Surprise, AZ 85374

Interoperability endpoints

  • Direct secure messaging: mvermani@atapc-az.direct.office.nextgen.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1295898054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22270",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850280270",
            "telephone_number": "623-428-9949",
            "fax_number": "623-428-9962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 N MESA DR STE 11",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852015936",
            "telephone_number": "623-428-9949",
            "fax_number": "623-428-9962"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18731 N Reems Rd Ste F-620",
            "address_purpose": "LOCATION",
            "city": "Surprise",
            "state": "AZ",
            "postal_code": "853748644",
            "country_code": "US",
            "telephone_number": "623-428-9949",
            "fax_number": "623-428-9962",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1701 E Thomas Rd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850167674",
            "country_code": "US",
            "telephone_number": "623-428-9949",
            "fax_number": "623-428-9962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VERMANI",
        "first_name": "MANDEEP",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D6920",
            "primary": false
        },
        {
            "code": "1223X2210X",
            "taxonomy_group": "",
            "desc": "Dentist, Orofacial Pain",
            "state": "AZ",
            "license": "D06920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.