Chad M Cravatta DMD Ms PLLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

CHAD M CRAVATTA DMD MS PLLC

Doing business as

Greater Phoenix Periodontics & Implants

Practice address

2220 W Southern Ave Ste 101
Mesa, AZ 85202-4706

Phone

(480) 834-6005

Fax

(480) 464-8237

NPI assigned

Aug 30, 2024

Last updated

Aug 30, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Chad M Cravatta, DMDNPI 1457579302

Title

Owner

Phone

(480) 834-6005

Specialties & licenses 1

Addresses

Other names 1

• GREATER PHOENIX PERIODONTICS & IMPLANTS Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chad M. Cravatta, DMD, MS

  • Periodontics
  • Mesa, AZ
  • NPI 1457579302
  NPD Authorized official

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

{
    "created_epoch": "1724976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724976000000",
    "number": "1760216816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 W SOUTHERN AVE STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024706",
            "telephone_number": "480-834-6005",
            "fax_number": "480-464-8237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 W SOUTHERN AVE STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024706",
            "telephone_number": "480-834-6005",
            "fax_number": "480-464-8237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAD M CRAVATTA DMD MS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-30",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A",
        "authorized_official_last_name": "CRAVATTA",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-834-6005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GREATER PHOENIX PERIODONTICS & IMPLANTS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Susan Cestaro-Smith, P.T.
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• Periodontics in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Periodontics in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; 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.