Organization Active NPI

Az Family and Kids Dental Mesa LLC

  • Dentist
  • Mesa, AZ
National Provider Identifier
1679463723
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
AZ FAMILY AND KIDS DENTAL MESA LLC
Practice address
1942 E Southern Ave Ste 103
Mesa, AZ 85204-5245
Phone
(480) 733-9800
NPI assigned
Jul 8, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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

Authorized official

Name
Daniel Haught, DMDNPI 1801117932
Title
Owner
Phone
(928) 970-2723

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1942 E Southern Ave Ste 103
Mesa, AZ 85204-5245

Mailing address

1942 E Southern Ave Ste 103
Mesa, AZ 85204-5245
Phone (480) 733-9800

National Provider Directory

National Provider Directory

Locations

1012 S Stapley Dr
Ste 105
Mesa, AZ 85204
Phone (480) 733-9800

1942 E Southern Ave
Ste 103
Mesa, AZ 85204
Phone (480) 733-9800

Practitioners & affiliated clinicians

Practitioners 2

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": "1751932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789344000000",
    "number": "1679463723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1942 E SOUTHERN AVE STE 103",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852045245",
            "telephone_number": "480-733-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1942 E SOUTHERN AVE STE 103",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852045245",
            "telephone_number": "480-733-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZ FAMILY AND KIDS DENTAL MESA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-08",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A",
        "authorized_official_last_name": "HAUGHT",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-970-2723",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "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 Sep 14, 2026; 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.