Mesa Dental Partners LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D008186 Issued in AZ

Legal business name

MESA DENTAL PARTNERS LLC

Doing business as

Risas Dental and Braces

Practice address

1928 E. Main St.
Mesa, AZ 85203

Phone

(480) 729-6090

Fax

(480) 729-6091

NPI assigned

Jun 6, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Whitney B Wright, DDS, MS

Title

Manager

Phone

(480) 489-0298

Specialties & licenses 1

Addresses

Other names 1

• Risas Dental and Braces Doing business as

Locations

Practitioners 3

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

• Joshua Foster

  • Dentist
  • Mesa, AZ
  • NPI 1760313829
  NPD (past)
• Chad Ryan Haak, D.D.S.

  • Dentist
  • Gilbert, AZ
  • NPI 1649353301
  NPD (past)
• Russell D York, DMD

  • Dentist
  • Mesa, AZ
  • NPI 1821613134
  NPD (past)

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712707200000",
    "number": "1649531658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 NORTH CENTRAL AVENUE, SUITE 1500",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85012",
            "telephone_number": "480-729-6090",
            "fax_number": "480-729-6091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1928 E. MAIN ST.",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85203",
            "telephone_number": "480-729-6090",
            "fax_number": "480-729-6091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MESA DENTAL PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-06",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "WHITNEY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "480-489-0298",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D008186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Risas Dental and Braces",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mesa CT Al MC Care Properties, LLC (Courtyard Towers)
• Mesa Dental Arizona LLC
• Mesa Dental Care
• Mesa Dental Group LLC (Gilbert Road Dental Care)
• Mesa Dental Health
• Mesa Dental PLLC
• Mesa Detox LLC
• Mesa Development Sub, LLC (Agave Ridge Behavioral Hospital)
• Mesa Development Sub, LLC (Agave Ridge Behavioral Hospital)
• Mesa DME Equipment

• General Practice Dentistry in Mesa, AZ
• Providers in Mesa, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.