ENT Specialists of Arizona, P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

3728 Issued in AZ

Legal business name

ENT SPECIALISTS OF ARIZONA, P.C.

Practice address

1492 S Mill Ave
Ste. 301
Tempe, AZ 85281-5652

Phone

(480) 894-5550

Fax

(480) 894-9469

NPI assigned

May 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. David B Mendelson, D.O.

Title

President

Phone

(480) 894-5550

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1538115662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1492 S MILL AVE",
            "address_2": "STE. 301",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852815652",
            "telephone_number": "480-894-5550",
            "fax_number": "480-894-9469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1492 S MILL AVE",
            "address_2": "STE. 301",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852815652",
            "telephone_number": "480-894-5550",
            "fax_number": "480-894-9469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENT SPECIALISTS OF ARIZONA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MENDELSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-894-5550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": "3728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "698251",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Eric a Heap DDS PC
• Zachary Erickson, DC

• Specialist in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.