Pema Dental Center Inc

Primary specialty

DentistTaxonomy code 122300000X

License

D6545 Issued in AZ

Legal business name

PEMA DENTAL CENTER INC

Practice address

454 N Lindsay Rd Ste 4
Mesa, AZ 85213-7708

Phone

(480) 832-9199

NPI assigned

Mar 5, 2015

Organization subpart

No

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

Authorized official

Name

Rakesh Pema

Title

Owner

Phone

(480) 832-9199

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1425513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425513600000",
    "number": "1457744153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 N LINDSAY RD STE 4",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852137708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 N LINDSAY RD STE 4",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852137708",
            "telephone_number": "480-832-9199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEMA DENTAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-05",
        "last_updated": "2015-03-05",
        "status": "A",
        "authorized_official_last_name": "PEMA",
        "authorized_official_first_name": "RAKESH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-832-9199"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D6545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maniah Pelland
• Maia Pellegrini, LCSW
• Mark Peller, O.D.
• Angela Pelletier, DMD
• Anabelle Pelto
• Rakesh Dhiru Pema, D.D.S.
• Tyler Pemberton, PMHNP
• Jesus Pena Nunez, STUDENT
• Crystal Pena, CPM, LM
• Izabel Anamaria Pena, M.S., CCC-SLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2015; 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.