Minal Jaydip Mehta, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6183 Issued in AZ

Practice address

10659 NW Grand Ave
Suite 4
Sun City, AZ 85351-3426

Phone

(623) 974-5834

Fax

(623) 974-5835

NPI assigned

Aug 5, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Az Dental Care, PLLC

  • General Practice Dentistry
  • Sun City, AZ
  • NPI 1326574542
  NPD (past) Authorized official

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222128000000",
    "number": "1437168754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10659 GRAND AVE",
            "address_2": "SUITE 4",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513426",
            "telephone_number": "623-974-5834",
            "fax_number": "623-974-5835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10659 NW GRAND AVE",
            "address_2": "SUITE 4",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513426",
            "telephone_number": "623-974-5834",
            "fax_number": "623-974-5835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "MINAL",
        "middle_name": "JAYDIP",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2008-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "6183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medsource Orthotics & Prosthetics
• Medsource Orthotics & Prosthetics, Inc
• Medvidi Health PC
• Melanie Meguro, MD
• Nina Mehranfar, DMD
• Mona Girish Mehta, M.D.
• Crisanto Esguerra Melchor, NURSE PRACTITIONER
• Derek Mello, FNP-C
• Anna Merauta, PHARMD
• Adryanna Mercado, PHARM. D.

• General Practice Dentistry in Sun City, AZ
• Providers in Sun City, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.