Embraceable Az LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

8340 Issued in AZ

Legal business name

EMBRACEABLE AZ LLC

Practice address

1130 S Country Club Dr
Suite 101
Mesa, AZ 85210-4639

Phone

(480) 461-9866

NPI assigned

Oct 18, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Mark Stasi, D.D.S.

Title

Partner / Owner

Phone

(303) 549-1912

Specialties & licenses 1

Addresses

Other names 1

• Comfort Braces West Mesa Doing business as

Tax ID family

Comfort Braces West Mesa2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Embraceable, Az LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Overland Park, KS
  • NPI 1801277165
  NPD tax ID

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350518400000",
    "number": "1851644504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 S COUNTRY CLUB DR",
            "address_2": "SUITE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852104639",
            "telephone_number": "480-461-9866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 S COUNTRY CLUB DR",
            "address_2": "SUITE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852104639",
            "telephone_number": "480-461-9866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBRACEABLE AZ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-18",
        "last_updated": "2012-10-18",
        "status": "A",
        "authorized_official_last_name": "STASI",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PARTNER / OWNER",
        "authorized_official_telephone_number": "303-549-1912",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AZ",
            "license": "8340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comfort Braces West Mesa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hiba Eltahir
• Alaeldin Abdalla Eltom, MD
• Elvin Ho OD PC
• Patricia Elzner, NP
• Embrace Assisted Living LLC
• Embree DDS PLLC
• Breanna R Embree, DDS
• Embry Testing and Vaccine Services of Florida LLC
• Embry Womens Health LLC
• Joellen Beard Embry, NP

• Orthodontics and Dentofacial Orthopedics Dentistry in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; 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.