NPIMap

Organization Active NPI

My Dentist Enterprises, Inc.

  • General Practice Dentistry
  • Mesa, AZ
National Provider Identifier
1629621982
Registry record updated Jul 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MY DENTIST ENTERPRISES, INC.
Practice address
2045 S Vineyard Ste 153
Mesa, AZ 85210-6892
Phone
(480) 833-2232
Fax
(480) 833-3062
NPI assigned
Jul 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2019

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

Authorized official

Name
Michael David Margolis, DDSNPI 1730264318
Title
Owner
Phone
(480) 833-2232

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2045 S Vineyard Ste 153
Mesa, AZ 85210-6892

Mailing address

2045 S Vineyard Ste 153
Mesa, AZ 85210-6892
Phone (480) 833-2232

Other names 1

  • My Dentist Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1563235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563235200000",
    "number": "1629621982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 S VINEYARD STE 153",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106892",
            "telephone_number": "480-833-2232",
            "fax_number": "480-833-3062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 S VINEYARD STE 153",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106892",
            "telephone_number": "480-833-2232",
            "fax_number": "480-833-3062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY DENTIST ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-16",
        "last_updated": "2019-07-16",
        "status": "A",
        "authorized_official_last_name": "MARGOLIS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-833-2232",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Dentist",
            "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 Jul 16, 2019; 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.