NPIMap

Organization Active NPI

Mesa Dental PLLC

  • Dental Clinic/Center
  • Mesa, AZ
National Provider Identifier
1497271068
Registry record updated Aug 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
D008289 Issued in AZ
Legal business name
MESA DENTAL PLLC
Practice address
1423 S Higley Rd Ste 101
Mesa, AZ 85206-3449
Phone
(480) 396-9900
NPI assigned
Aug 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2017

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

Authorized official

Name
Dr. Chase Daniel Davis, DDSNPI 1083993588
Title
Owner/Dentist
Phone
(480) 396-9900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X D008289 AZ Primary

Addresses

Primary practice location

1423 S Higley Rd Ste 101
Mesa, AZ 85206-3449

Mailing address

3010 E Fruitvale Ave
Gilbert, AZ 85297-5261
Phone (480) 341-0095

National Provider Directory

National Provider Directory

Locations

1423 S Higley Rd
Ste 101
Mesa, AZ 85206
Phone (480) 396-9900

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1502841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502841600000",
    "number": "1497271068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 E FRUITVALE AVE",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852975261",
            "telephone_number": "480-341-0095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 S HIGLEY RD STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852063449",
            "telephone_number": "480-396-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MESA DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-16",
        "last_updated": "2017-08-16",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "CHASE",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "480-396-9900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AZ",
            "license": "D008289",
            "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 Aug 16, 2017; 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.