Mesa Valley Modern Dentistry, LLP

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

MESA VALLEY MODERN DENTISTRY, LLP

Practice address

1712 S, Country Club Drive, Ste 104
Mesa, AZ 85210

Phone

(480) 376-0593

NPI assigned

Jan 10, 2017

Organization subpart

No

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

Authorized official

Name

Miran Ho, DDS

Title

Owner

Phone

(480) 376-0593

Specialties & licenses 1

Addresses

Other names 1

• Mesa Valley Modern Dentistry Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sergio Garcia

  • Dentist
  • Mesa, AZ
  • NPI 1649956376
  NPD (past)
• Richard Huynh, DMD

  • General Practice Dentistry
  • Mesa, AZ
  • NPI 1164918157
  NPD (past)
• Walter Plunkett, DMD

  • General Practice Dentistry
  • Mesa, AZ
  • NPI 1770329872
  NPD (past)
• Isaac Edmundson Pratt, DDS,MSD

  • Endodontics
  • Mesa, AZ
  • NPI 1548534035
  NPD (past)

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

{
    "created_epoch": "1484006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649808000000",
    "number": "1487190880",
    "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",
            "telephone_number": "714-845-8500",
            "fax_number": "949-474-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 S, COUNTRY CLUB DRIVE, STE 104",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85210",
            "telephone_number": "480-376-0593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MESA VALLEY MODERN DENTISTRY, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-10",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A",
        "authorized_official_last_name": "HO",
        "authorized_official_first_name": "MIRAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-376-0593",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mesa Valley Modern Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mesa Valley Modern Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mesa United Medical Investors Limited Partnership
• Mesa United Medical Investors, LP
• Mesa Urgent Care, LLC
• Mesa Urologists PC
• Mesa Valley Dental LLC
• Mesa Vision Partners,PLLC
• Amanda Toshiko McAlister Mesa, MD
• Carey Mesa
• Mesquite Canyon Dental
• Mesquite Hospital and Surgical

• 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 Apr 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.