Active NPI
Faryal Gill, DMD, MBA
- Dentist
- Mesa, AZ
National Provider Identifier
1700765013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D012608
- Practice address
- 2062 N Woodruff
Mesa, AZ 85207-2188 - Phone
- (208) 346-2679
- NPI assigned
- Aug 29, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D012608 | AZ | Primary |
Addresses
Primary practice location
2062 N Woodruff
Mesa, AZ 85207-2188
Mailing address
2062 N Woodruff
Mesa, AZ 85207-2188
Phone (208) 346-2679
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Business Administration
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D012608 | AZ | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756425600000",
"number": "1700765013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2062 N WOODRUFF",
"city": "MESA",
"state": "AZ",
"postal_code": "852072188",
"telephone_number": "208-346-2679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2062 N WOODRUFF",
"city": "MESA",
"state": "AZ",
"postal_code": "852072188",
"telephone_number": "208-346-2679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILL",
"first_name": "FARYAL",
"credential": "DMD, MBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-08-29",
"last_updated": "2025-08-29",
"certification_date": "2025-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "D012608",
"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 Aug 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.