NPIMap

Organization Active NPI

Morley J. Smith, DMD, PC

Doing business as East Valley Periodontics

  • Periodontics
  • Mesa, AZ
National Provider Identifier
1821242082
Registry record updated Nov 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
2619 Issued in AZ
Legal business name
MORLEY J. SMITH, DMD, PC
Doing business as
East Valley Periodontics
Practice address
6755 E Superstition Springs Blvd
Suite 102
Mesa, AZ 85206-4373
Phone
(480) 218-7590
Fax
(480) 218-2247
NPI assigned
Nov 13, 2008
Last updated
Nov 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2008

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

Authorized official

Name
Penny Sue McKinney
Title
Office Manager
Phone
(480) 218-7590

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X 2619 AZ Primary

Addresses

Primary practice location

6755 E Superstition Springs Blvd
Suite 102
Mesa, AZ 85206-4373

Mailing address

6755 E Superstition Springs Blvd
Ste. 102
Mesa, AZ 85206-4373
Phone (480) 218-7590

Other names 1

  • East Valley Periodontics Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1226534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226534400000",
    "number": "1821242082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6755 E SUPERSTITION SPRINGS BLVD",
            "address_2": "STE. 102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064373",
            "telephone_number": "480-218-7590",
            "fax_number": "480-218-2247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6755 E SUPERSTITION SPRINGS BLVD",
            "address_2": "SUITE 102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064373",
            "telephone_number": "480-218-7590",
            "fax_number": "480-218-2247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORLEY J. SMITH, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-13",
        "last_updated": "2008-11-13",
        "status": "A",
        "authorized_official_last_name": "MCKINNEY",
        "authorized_official_first_name": "PENNY",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "480-218-7590"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "AZ",
            "license": "2619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Valley Periodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 13, 2008; 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.