NPIMap

Organization Active NPI

Mesquite Canyon Dental

  • Dentist
  • Mesa, AZ
National Provider Identifier
1356552079
Registry record updated Jan 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D-5921 Issued in AZ
Legal business name
MESQUITE CANYON DENTAL
Practice address
6640 East Baseline Road
Suite #104
Mesa, AZ 85206
Phone
(480) 830-2544
NPI assigned
May 24, 2007
Last updated
Jan 28, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2009

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

Authorized official

Name
Dr. David S McGee, DMDNPI 1154377745
Title
Owner
Phone
(480) 830-2544

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
Dentist 122300000X D-5921 AZ Primary

Addresses

Primary practice location

6640 East Baseline Road
Suite #104
Mesa, AZ 85206

Mailing address

6640 East Baseline Road
Suite #104
Mesa, AZ 85206
Phone (480) 830-2544

National Provider Directory

National Provider Directory

Locations

6640 E Baseline Rd
Ste 104
Mesa, AZ 85206
Phone (480) 830-2544

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233100800000",
    "number": "1356552079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6640 EAST BASELINE ROAD",
            "address_2": "SUITE #104",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85206",
            "telephone_number": "480-830-2544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6640 EAST BASELINE ROAD",
            "address_2": "SUITE #104",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85206",
            "telephone_number": "480-830-2544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MESQUITE CANYON DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2009-01-28",
        "status": "A",
        "authorized_official_last_name": "MCGEE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-830-2544",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D-5921",
            "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 Jan 28, 2009; 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.