Individual provider Active NPI

Elizabeth M Tandy, DMD

  • Periodontics
  • Mesa, AZ
National Provider Identifier
1346239555
Registry record updated Nov 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
D7045 Issued in AZ
Practice address
7820 E Baseline Rd Unit 113
Mesa, AZ 85209-5438
Phone
(480) 560-3479
NPI assigned
Oct 19, 2005
Last updated
Nov 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X D7045 AZ Primary

Addresses

Primary practice location

7820 E Baseline Rd Unit 113
Mesa, AZ 85209-5438

Mailing address

7820 E Baseline Rd Unit 113
Mesa, AZ 85209-5438
Phone (480) 560-3479

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

LicenseStateTypeSpecialty
D7045AZMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793836800000",
    "number": "1346239555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7820 E BASELINE RD UNIT 113",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852095438",
            "telephone_number": "480-560-3479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7820 E BASELINE RD UNIT 113",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852095438",
            "telephone_number": "480-560-3479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANDY",
        "first_name": "ELIZABETH",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-19",
        "last_updated": "2026-11-05",
        "certification_date": "2026-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "AZ",
            "license": "D7045",
            "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 5, 2026; 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.