Active NPI
Adam Ford
- General Practice Dentistry
- Mesa, AZ
National Provider Identifier
1346308541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D008196
- Practice address
- 600 E University Dr
Mesa, AZ 85203-7927 - Phone
- (480) 610-5100
- Fax
- (480) 610-5111
- NPI assigned
- Dec 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 23024 | TX | |
| General Practice Dentistry | 1223G0001X | D008196 | AZ | Primary |
Addresses
Primary practice location
600 E University Dr
Mesa, AZ 85203-7927
Mailing address
4435 E Holmes Ave
Mesa, AZ 85206-3372
Phone (480) 889-9457
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 |
|---|---|---|---|
| D008196 | AZ | MD | General Practice Dentistry |
| 23024 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444953600000",
"number": "1346308541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4435 E HOLMES AVE",
"city": "MESA",
"state": "AZ",
"postal_code": "852063372",
"telephone_number": "480-889-9457",
"fax_number": "480-696-5505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 E UNIVERSITY DR",
"city": "MESA",
"state": "AZ",
"postal_code": "852037927",
"telephone_number": "480-610-5100",
"fax_number": "480-610-5111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORD",
"first_name": "ADAM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-04",
"last_updated": "2015-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "23024",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "D008196",
"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 Oct 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.