Active NPI
Vibe Dental-Mesa
- Dental Clinic/Center
- Mesa, AZ
National Provider Identifier
1508613563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- VIBE DENTAL-MESA
- Practice address
- 1855 S Country Club Dr
Mesa, AZ 85210-6037 - Phone
- (480) 800-8423
- Fax
- (480) 741-8855
- NPI assigned
- May 6, 2024
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Sean Jo
- Title
- Owner
- Phone
- (480) 800-8423
National Provider Directory
National Provider DirectoryLocations
1855 S Country Club Dr
Mesa, AZ 85210
Phone (480) 800-8423
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1855 S Country Club Dr
Mesa, AZ 85210-6037
Mailing address
1855 S Country Club Dr Ste 101
Mesa, AZ 85210-6120
Phone (480) 800-8423
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 6, 2024.
{
"created_epoch": "1714953600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1714953600000",
"number": "1508613563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1855 S COUNTRY CLUB DR STE 101",
"city": "MESA",
"state": "AZ",
"postal_code": "852106120",
"telephone_number": "480-800-8423",
"fax_number": "480-741-8855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1855 S COUNTRY CLUB DR",
"city": "MESA",
"state": "AZ",
"postal_code": "852106037",
"telephone_number": "480-800-8423",
"fax_number": "480-741-8855"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VIBE DENTAL-MESA",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-06",
"last_updated": "2024-05-06",
"certification_date": "2024-05-06",
"status": "A",
"authorized_official_last_name": "JO",
"authorized_official_first_name": "SEAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "480-800-8423"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"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 May 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.