Organization Active NPI

Vibe Dental-Mesa

  • Dental Clinic/Center
  • Mesa, AZ
National Provider Identifier
1508613563
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
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 Directory

Locations

1855 S Country Club Dr
Mesa, AZ 85210
Phone (480) 800-8423

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.