Mesa Pavilions Dental LLC

Primary specialty

DentistTaxonomy code 122300000X

License

D06580 Issued in AZ

Legal business name

MESA PAVILIONS DENTAL LLC

Doing business as

Superstition Springs Dental

Practice address

1545 S Power Rd
112
Mesa, AZ 85206-3736

Phone

(480) 355-4131

NPI assigned

Mar 8, 2016

Last updated

Mar 8, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brian C Harris, DDS

Title

Owner

Phone

(480) 320-9352

Specialties & licenses 1

Addresses

Other names 1

• Superstition Springs Dental Doing business as

Locations

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

{
    "created_epoch": "1457395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457395200000",
    "number": "1871954669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 S POWER RD",
            "address_2": "112",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852063736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 S POWER RD",
            "address_2": "112",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852063736",
            "telephone_number": "480-355-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MESA PAVILIONS DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-08",
        "last_updated": "2016-03-08",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-320-9352",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D06580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Superstition Springs Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mesa Mountain PDC PLLC
• Mesa Naturopathic, PLLC
• Mesa Obstetricians & Gynecologists, LTD
• Mesa Outpatient Treatment Center LLC
• Mesa Pain Center LLC
• Mesa Physical Medicine PLLC
• Mesa Physician Group
• Mesa Public Schools
• Mesa Regen Group, LLC
• Mesa Serenity Assisted Living Home LLC

• Dentist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.