NPIMap

Organization Active NPI

PM Dental

  • Dental Clinic/Center
  • Maricopa, AZ
National Provider Identifier
1760958359
Registry record updated Oct 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
PM DENTAL
Practice address
20800 N John Wayne Pkwy Ste 105
Maricopa, AZ 85139-2728
Phone
(520) 568-7880
Fax
(520) 868-6794
NPI assigned
Oct 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2018

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

Authorized official

Name
Peter Manesh, DDS
Title
Owner
Phone
(520) 568-7880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

20800 N John Wayne Pkwy Ste 105
Maricopa, AZ 85139-2728

Mailing address

20800 N John Wayne Pkwy Ste 105
Maricopa, AZ 85139-2728
Phone (520) 568-7880

National Provider Directory

National Provider Directory

Locations

20800 N John Wayne Pkwy
Ste 105
Maricopa, AZ 85139
Phone (520) 568-7880

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1540166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540166400000",
    "number": "1760958359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20800 N JOHN WAYNE PKWY STE 105",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851392728",
            "telephone_number": "520-568-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20800 N JOHN WAYNE PKWY STE 105",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851392728",
            "telephone_number": "520-568-7880",
            "fax_number": "520-868-6794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PM DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-22",
        "last_updated": "2018-10-22",
        "status": "A",
        "authorized_official_last_name": "MANESH",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-568-7880",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maricopa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2018; 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.