Organization Active NPI

Leo J Wirth DDS PC

  • Dental Hygienist
  • Mesa, AZ
National Provider Identifier
1902897580
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
H0657 Issued in AZ
Legal business name
LEO J WIRTH DDS PC
Practice address
1150 N Country Club Dr
Ste 11
Mesa, AZ 85201-2537
Phone
(480) 964-3124
Fax
(480) 964-9252
NPI assigned
Nov 2, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Duane L Wirth, DDS
Title
Dentist
Phone
(480) 964-3124

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 2827 AZ
Dental HygienistGroup: 193200000X MULTI-SPECIALTY GROUP 124Q00000X H0936 AZ
Dental HygienistGroup: 193200000X MULTI-SPECIALTY GROUP 124Q00000X H0657 AZ Primary

Addresses

Primary practice location

1150 N Country Club Dr
Ste 11
Mesa, AZ 85201-2537

Mailing address

1150 N Country Club Dr
Ste 11
Mesa, AZ 85201-2537
Phone (480) 964-3124

Other names 1

  • Duane L Wirth DDS Other name

National Provider Directory

National Provider Directory

Locations

1150 N Country Club Dr
Ste 11
Mesa, AZ 85201
Phone (480) 964-3124

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1902897580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 N COUNTRY CLUB DR",
            "address_2": "STE 11",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852012537",
            "telephone_number": "480-964-3124",
            "fax_number": "480-964-9252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 N COUNTRY CLUB DR",
            "address_2": "STE 11",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852012537",
            "telephone_number": "480-964-3124",
            "fax_number": "480-964-9252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEO J WIRTH DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-02",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "WIRTH",
        "authorized_official_first_name": "DUANE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "480-964-3124",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "2827",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": "AZ",
            "license": "H0936",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": "AZ",
            "license": "H0657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Duane L Wirth DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Sep 11, 2025; 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.