NPIMap

Organization Active NPI

Pema Dental Center Inc

  • Dentist
  • Mesa, AZ
National Provider Identifier
1457744153
Registry record updated Mar 5, 2015
On this page

Key facts

NPPES NPI Registry
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
Last updated
Mar 5, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2015

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

Authorized official

Name
Rakesh PemaNPI 1871711259
Title
Owner
Phone
(480) 832-9199

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X D6545 AZ Primary

Addresses

Primary practice location

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

Mailing address

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

National Provider Directory

National Provider Directory

Locations

454 N Lindsay Rd
Ste 4
Mesa, AZ 85213
Phone (480) 832-9199

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": "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": []
}

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 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.