Lobna Banimostafa

Primary specialty

DentistTaxonomy code 122300000X

License

D012623 Issued in AZ

Practice address

1901 S Signal Butte Rd Ste 107
Mesa, AZ 85209-2601

Phone

(480) 305-0877

NPI assigned

Dec 26, 2023

Last updated

Nov 14, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gateway Smiles, LLP

  dba Gateway Smiles

  • General Practice Dentistry
  • Mesa, AZ
  • NPI 1043407885

  Multi-Specialty

  NPD (past)
• Comfort Dental Group of Northglenn

  • General Practice Dentistry
  • Northglenn, CO
  • NPI 1720133499
  NPD (past)

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

{
    "created_epoch": "1703548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1730958273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 W OCOTILLO RD APT 600",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851408807",
            "telephone_number": "720-462-9948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 S SIGNAL BUTTE RD STE 107",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852092601",
            "telephone_number": "480-305-0877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANIMOSTAFA",
        "first_name": "LOBNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-26",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "00205834",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D012623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Richard Banas, DC
• Alice Banda, REGISTERED NURSE
• Vinay Bandla, M.D
• Sunitha Bandlamuri, MD
• Joshua Bangle
• Banks Pediatric Dentistry PLLC
• Brian Glen Banks, DMD
• Chantel Banks
• David C Banks, DDS
• Nicole Loraine Banks, PA-C

• Dentist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.

Verify at the official NPI Registry.