Active NPI
Gregory J Mikszta, DDS
- Endodontics
- Casa Grande, AZ
National Provider Identifier
1346399730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 4872
- Practice address
- 1968 N Peart Rd
Suite 8
Casa Grande, AZ 85222 - Phone
- (520) 421-9939
- Fax
- (520) 421-9929
- NPI assigned
- Jan 9, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 4872 | AZ | Primary |
Addresses
Primary practice location
1968 N Peart Rd
Suite 8
Casa Grande, AZ 85222
Mailing address
1968 N Peart Rd
Suite 8
Casa Grande, AZ 85222
Phone (520) 421-9939
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 |
|---|---|---|---|
| 4872 | AZ | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191974400000",
"number": "1346399730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1968 N PEART RD",
"address_2": "SUITE 8",
"city": "CASA GRANDE",
"state": "AZ",
"postal_code": "85222",
"telephone_number": "520-421-9939",
"fax_number": "520-421-9929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1968 N PEART RD",
"address_2": "SUITE 8",
"city": "CASA GRANDE",
"state": "AZ",
"postal_code": "85222",
"telephone_number": "520-421-9939",
"fax_number": "520-421-9929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIKSZTA",
"first_name": "GREGORY",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-09",
"last_updated": "2007-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "AZ",
"license": "4872",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Casa Grande, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.