Mesa Endodontics PLLC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

D07243 Issued in AZ

Legal business name

MESA ENDODONTICS PLLC

Practice address

2855 E Brown Rd Ste 15
Mesa, AZ 85213-4216

Phone

(480) 324-0500

Fax

(480) 324-0501

NPI assigned

Jun 25, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Nathan George Woods, DDS

Title

Owner

Phone

(804) 814-5801

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1498348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498348800000",
    "number": "1366962995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 E BROWN RD STE 15",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852134216",
            "telephone_number": "804-814-5801",
            "fax_number": "480-324-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 E BROWN RD STE 15",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852134216",
            "telephone_number": "480-324-0500",
            "fax_number": "480-324-0501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MESA ENDODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-25",
        "last_updated": "2017-06-25",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-814-5801",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "AZ",
            "license": "D07243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mesa Dental PLLC
• Mesa Detox LLC
• Mesa Development Sub, LLC
• Mesa Development Sub, LLC
• Mesa DME Equipment
• Mesa Family Care
• Mesa Family Chiropractic PLLC
• Mesa Family Physicians, PLC
• Mesa Family Therapy LLC
• Mesa Gastrointestinal Assoc PC

• Endodontics in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Endodontics in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2017; 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.