NPIMap

Organization Active NPI

Superstition Springs Endodontics, LLP

  • Endodontics
  • Mesa, AZ
National Provider Identifier
1861544256
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
SUPERSTITION SPRINGS ENDODONTICS, LLP
Practice address
6755 E Superstition Springs Blvd Ste 101
Mesa, AZ 85206-4375
Phone
(480) 807-8022
Fax
(480) 807-5955
NPI assigned
Jan 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Edward H. Carlson, DDSNPI 1861665499
Title
Director
Phone
(480) 807-8022

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

6755 E Superstition Springs Blvd Ste 101
Mesa, AZ 85206-4375

Mailing address

6755 E Superstition Springs Blvd Ste 101
Mesa, AZ 85206-4375
Phone (480) 807-8022

National Provider Directory

National Provider Directory

Locations

6755 E Superstition Springs Blvd
Ste 101
Mesa, AZ 85206
Phone (480) 807-8022

Practitioners & affiliated clinicians

Practitioners 4

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": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861544256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6755 E SUPERSTITION SPRINGS BLVD STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064375",
            "telephone_number": "480-807-8022",
            "fax_number": "480-807-5955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6755 E SUPERSTITION SPRINGS BLVD STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064375",
            "telephone_number": "480-807-8022",
            "fax_number": "480-807-5955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERSTITION SPRINGS ENDODONTICS, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "480-807-8022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "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 Aug 22, 2020; 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.