Francisco Mesa DDS PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

D12189 Issued in MN

Legal business name

FRANCISCO MESA DDS PA

Practice address

7727 Flying Cloud Dr
Eden Prairie, MN 55344-3708

Phone

(608) 215-6643

NPI assigned

Oct 24, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Francisco J Mesa, DDS

Title

Ceo

Phone

(608) 215-6643

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1287878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287878400000",
    "number": "1679873764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6496 BORDEAUX CT",
            "city": "INVER GROVE HEIGHTS",
            "state": "MN",
            "postal_code": "550762057",
            "telephone_number": "608-215-6643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7727 FLYING CLOUD DR",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443708",
            "telephone_number": "608-215-6643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANCISCO MESA DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-24",
        "last_updated": "2010-10-24",
        "status": "A",
        "authorized_official_last_name": "MESA",
        "authorized_official_first_name": "FRANCISCO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "608-215-6643",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MN",
            "license": "D12189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• Dental Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2010; 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.