Organization Active NPI

Smile Dental Care

  • Dentist
  • Mesa, AZ
National Provider Identifier
1821455437
Registry record updated Jan 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SMILE DENTAL CARE
Practice address
10238 E Hampton Ave Ste 105
Mesa, AZ 85209-3317
Phone
(480) 986-2600
Fax
(480) 689-4164
NPI assigned
Jan 27, 2016
Last updated
Jan 27, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2016

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

Authorized official

Name
Mike Lee, D.D.S.
Title
Dr.
Phone
(480) 986-2600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

10238 E Hampton Ave Ste 105
Mesa, AZ 85209-3317

Mailing address

10238 E Hampton Ave Ste 105
Mesa, AZ 85209-3317
Phone (480) 986-2600

National Provider Directory

National Provider Directory

Locations

10238 E Hampton Ave
Ste 105
Mesa, AZ 85209
Phone (480) 986-2600

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1453852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453852800000",
    "number": "1821455437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10238 E HAMPTON AVE STE 105",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852093317",
            "telephone_number": "480-986-2600",
            "fax_number": "480-689-4164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10238 E HAMPTON AVE STE 105",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852093317",
            "telephone_number": "480-986-2600",
            "fax_number": "480-689-4164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-27",
        "last_updated": "2016-01-27",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "480-986-2600",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 27, 2016; 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.