Organization Active NPI

LP Hammett

Doing business as Mobile Dentistry of Arizona

  • General Practice Dentistry
  • Mesa, AZ
National Provider Identifier
1487883310
Registry record updated Aug 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2040 Issued in AZ
Legal business name
LP HAMMETT
Doing business as
Mobile Dentistry of Arizona
Practice address
2733 N Power Rd
Suite 102-449
Mesa, AZ 85215-1682
Phone
(480) 313-3310
Fax
(480) 772-4032
NPI assigned
Jul 13, 2009
Last updated
Aug 6, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2009

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

Authorized official

Name
Mrs. Ann Benson, RDH
Title
Owner/Hygienist
Phone
(480) 313-3310

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 2040 AZ Primary

Addresses

Primary practice location

2733 N Power Rd
Suite 102-449
Mesa, AZ 85215-1682

Mailing address

2733 N Power Rd
Suite 102-449
Mesa, AZ 85215-1682
Phone (480) 313-3310

Other identifiers 1

IdentifierTypeStateIssuer
86037990OtherAZDDS

Other names 1

  • Mobile Dentistry of Arizona Doing business as

National Provider Directory

National Provider Directory

Locations

2733 N Power Rd
Ste 102449
Mesa, AZ 85215
Phone (480) 313-3310

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": "1247443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249516800000",
    "number": "1487883310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2733 N POWER RD",
            "address_2": "SUITE 102-449",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852151682",
            "telephone_number": "480-313-3310",
            "fax_number": "480-772-4032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2733 N POWER RD",
            "address_2": "SUITE 102-449",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852151682",
            "telephone_number": "480-313-3310",
            "fax_number": "480-772-4032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LP HAMMETT",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-13",
        "last_updated": "2009-08-06",
        "status": "A",
        "authorized_official_last_name": "BENSON",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "OWNER/HYGIENIST",
        "authorized_official_telephone_number": "480-313-3310",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "2040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DDS",
            "identifier": "86037990",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mobile Dentistry of Arizona",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 6, 2009; 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.