Mindi Alyse D'Elia, D.M.D, M.S.D, M.ED

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

D008783 Issued in AZ

Practice address

1714 W Hunt Hwy
Ste 102
Queen Creek, AZ 85143-5244

Phone

(480) 330-6817

NPI assigned

Jul 10, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rainbow Smiles LLC

  • Pediatric Dentistry
  • Chandler, AZ
  • NPI 1629951520
  NPD Authorized official
• Chandler Kidiatric Dental

  • Pediatric Dentistry
  • Chandler, AZ
  • NPI 1598118713
  NPD (past)

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

{
    "created_epoch": "1373414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466985600000",
    "number": "1689015398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1714 W HUNT HWY",
            "address_2": "STE 102",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851435244",
            "telephone_number": "480-330-6817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 W HUNT HWY",
            "address_2": "STE 102",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851435244",
            "telephone_number": "480-330-6817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'ELIA",
        "first_name": "MINDI",
        "middle_name": "ALYSE",
        "name_prefix": "Dr.",
        "credential": "D.M.D, M.S.D, M.ED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-10",
        "last_updated": "2016-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D008783",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "DR60463744",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AZ",
            "license": "D008783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles W Culler, D.M.D.
• Sabrina Marie Culp, RBT
• Heather M Curry
• Cody Cutler, D.D.S.
• D & P Medical Consulting LLC
• Dan Hoag, D.O., PLC
• Caitlin Daniels, DPT, PT
• Jennie Danielson, PHARM D
• Kellea Bell Danuser, NP
• Jeffrey Darling, PHARMD

• Pediatric Dentistry in Queen Creek, AZ
• Providers in Queen Creek, AZ by specialty
• Pediatric Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.