NPIMap

Organization Active NPI

Mesa Dental Health

  • General Practice Dentistry
  • Mesa, AZ
National Provider Identifier
1336965334
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MESA DENTAL HEALTH
Practice address
1259 N Power Rd
Mesa, AZ 85205-4909
Phone
(480) 830-8946
Fax
(480) 854-3869
NPI assigned
Nov 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Authorized official

Name
Kent Stapley, DMDNPI 1649350091
Title
Manager Member
Phone
(480) 830-8946

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1259 N Power Rd
Mesa, AZ 85205-4909

Mailing address

1259 N Power Rd
Mesa, AZ 85205-4909
Phone (480) 830-8946

National Provider Directory

National Provider Directory

Locations

1259 N Power Rd
Mesa, AZ 85205
Phone (480) 830-8946

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1732492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732492800000",
    "number": "1336965334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1259 N POWER RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852054909",
            "telephone_number": "480-830-8946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1259 N POWER RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852054909",
            "telephone_number": "480-830-8946",
            "fax_number": "480-854-3869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MESA DENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-25",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A",
        "authorized_official_last_name": "STAPLEY",
        "authorized_official_first_name": "KENT",
        "authorized_official_title_or_position": "MANAGER MEMBER",
        "authorized_official_telephone_number": "480-830-8946",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "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 Nov 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.