Kristen M Mayorga PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

KRISTEN M MAYORGA PLLC

Practice address

4609 E Chandler Blvd
Phoenix, AZ 85048-0424

Phone

(480) 706-4600

NPI assigned

Jun 2, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Kristen M Mayorga, DDSNPI 1396973327

Title

Doctor/Owner

Phone

(480) 639-9165

Specialties & licenses 1

Addresses

Other names 1

• DESERT DENTISTRY Doing business as

Locations

Practitioners 3

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

• Kristen M Mayorga, DDS

  • Dentist
  • Phoenix, AZ
  • NPI 1396973327
  NPD Authorized official
• Thomas Michael Mattern, D.D.S.

  • General Practice Dentistry
  • Phoenix, AZ
  • NPI 1295732337
  NPD (past)
• Robert Parker Mitchell, DMD

  • General Practice Dentistry
  • Venice, FL
  • NPI 1902324593
  NPD (past)

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

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654128000000",
    "number": "1750020186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3502 E DESERT TRUMPET RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850447028",
            "telephone_number": "480-639-9165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4609 E CHANDLER BLVD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850480424",
            "telephone_number": "480-706-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTEN M MAYORGA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-02",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A",
        "authorized_official_last_name": "MAYORGA",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "480-639-9165",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DESERT DENTISTRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sobha Krishnakumar, MSN FNP-C
• Kavitha Krishnamani, M.D.
• Prarthana Pai Krishnananda, DDS
• Nithya Krishnaswamy, MD
• Meredith Ann Kriss, FNP
• Kristi M Estrada LPC-S & Associates
• Kristin N Smith PLLC
• Marianne Krivan, LCSW
• Tyler Krivanek
• Lynn Ann Krivda

• Dental Clinic/Center in Phoenix, AZ
• Providers in Phoenix, 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 Jun 2, 2022; 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.