Dentists of Queen Creek LLP

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DENTISTS OF QUEEN CREEK LLP

Practice address

200 W Combs Rd Suite 101
Queen Creek, AZ 85140

Phone

(480) 526-5306

Fax

(480) 525-9641

NPI assigned

Jul 11, 2023

Organization subpart

No

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

Authorized official

Name

Meena A Kasisa, DMD

Title

Owner

Phone

(480) 526-5306

Specialties & licenses 1

Addresses

Other names 1

• DENTISTS OF QUEEN CREEK Doing business as

Locations

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

{
    "created_epoch": "1689033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689033600000",
    "number": "1417635152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W COMBS RD SUITE 101",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "85140",
            "telephone_number": "480-526-5306",
            "fax_number": "480-525-9641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTISTS OF QUEEN CREEK LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-11",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-05",
        "status": "A",
        "authorized_official_last_name": "KASISA",
        "authorized_official_first_name": "MEENA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-526-5306",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DENTISTS OF QUEEN CREEK",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nathan Delahanty
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• Melissa Marie Denego
• Dentists at Ironwood Crossing, LLP
• Dentists at Queen Creek, PLLC
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• Desert Medical LLC
• Desert Medical Transport LLC
• Desert Mobile Transport LLC

• Dentist in Queen Creek, AZ
• Providers in Queen Creek, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; 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.