Mitchell Lepetich DMD, PLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

7602 Issued in AZ

Legal business name

MITCHELL LEPETICH DMD, PLC

Doing business as

Copper Canyon Dental

Practice address

2680 S Val Vista Dr Ste 125
Gilbert, AZ 85295-2154

Phone

(480) 553-9909

Fax

(480) 553-9905

NPI assigned

Dec 4, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Mitchell R Lepetich, DMDNPI 1366699373

Title

Owner

Phone

(480) 553-9909

Specialties & licenses 1

Addresses

Other names 1

• Copper Canyon Dental Doing business as

Practitioners 1

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

• Mitchell Lepetich, DMD

  • Dentist
  • Gilbert, AZ
  • NPI 1366699373
  NPD (past) Authorized official

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

{
    "created_epoch": "1386115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386115200000",
    "number": "1689005456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2680 S VAL VISTA DR STE 125",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852952154",
            "telephone_number": "480-553-9909",
            "fax_number": "480-553-9905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2680 S VAL VISTA DR STE 125",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852952154",
            "telephone_number": "480-553-9909",
            "fax_number": "480-553-9905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL LEPETICH DMD, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-04",
        "last_updated": "2013-12-04",
        "status": "A",
        "authorized_official_last_name": "LEPETICH",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-553-9909",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AZ",
            "license": "7602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Copper Canyon Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alicia Marie Mishler, SLPA
• Parabatie Misir
• Tyler Miskin, PT
• Mission Hill Group LLC
• Ryan Mitcham
• Meghan Marie Mitchell-Perronne
• Kathleen Anne Mitchell
• Linda J. Mitchell, R. PH.
• Vanessa Breguez Mitchell, PA
• Victoria Mitchell

• Dental Clinic/Center in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Dental Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2013; 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.