Organization Active NPI

Mandeep Vermani DDS PLLC

  • Dental Clinic/Center
  • Mesa, AZ
National Provider Identifier
1881967610
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MANDEEP VERMANI DDS PLLC
Practice address
455 N Mesa Dr Ste 11
Mesa, AZ 85201-5936
Phone
(623) 428-9949
Fax
(623) 428-9962
NPI assigned
Feb 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Authorized official

Name
Mandeep Vermani, DDSNPI 1295898054
Title
Member
Phone
(602) 741-4388

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

455 N Mesa Dr Ste 11
Mesa, AZ 85201-5936

Mailing address

PO Box 22270
Phoenix, AZ 85028-0270
Phone (623) 428-9949

Other practice location 1

1701 E Thomas Rd Ste 203
Phoenix, AZ 85016-7674
Phone (623) 428-9949

Other practice location 2

2220 W Southern Ave
Ste 102
Mesa, AZ 85202-4772
Phone (623) 428-9949

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1328745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617235200000",
    "number": "1881967610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22270",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850280270",
            "telephone_number": "623-428-9949",
            "fax_number": "623-428-9962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 N MESA DR STE 11",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852015936",
            "telephone_number": "623-428-9949",
            "fax_number": "623-428-9962"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 E Thomas Rd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850167674",
            "country_code": "US",
            "telephone_number": "623-428-9949",
            "fax_number": "623-428-9962",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2220 W Southern Ave",
            "address_2": "Ste 102",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852024772",
            "country_code": "US",
            "telephone_number": "623-428-9949",
            "fax_number": "623-428-9962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MANDEEP VERMANI DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-09",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A",
        "authorized_official_last_name": "VERMANI",
        "authorized_official_first_name": "MANDEEP",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "602-741-4388",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Apr 1, 2021; 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.