Mesa Grand Kids Dentistry and Orthodontics Az LLP

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MESA GRAND KIDS DENTISTRY AND ORTHODONTICS AZ LLP

Doing business as

Mesa Grand Dental Group

Practice address

1240 E Baseline Rd Ste 100
Mesa, AZ 85204-6700

Phone

(480) 576-7378

Fax

(480) 562-5845

NPI assigned

Apr 11, 2022

Organization subpart

No

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

Authorized official

Name

Miran Ho, DDS

Title

Owner

Phone

(480) 576-7378

Specialties & licenses 1

Addresses

Other names 1

• MESA GRAND DENTAL GROUP Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacob Kaopua, DDS

  • General Practice Dentistry
  • Mesa, AZ
  • NPI 1669364725
  NPD
• Jalak Shah, DMD

  • General Practice Dentistry
  • Mesa, AZ
  • NPI 1659103174
  NPD

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

{
    "created_epoch": "1649635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649635200000",
    "number": "1912649807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050",
            "telephone_number": "714-845-8890",
            "fax_number": "303-952-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 E BASELINE RD STE 100",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852046700",
            "telephone_number": "480-576-7378",
            "fax_number": "480-562-5845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MESA GRAND KIDS DENTISTRY AND ORTHODONTICS AZ LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-11",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A",
        "authorized_official_last_name": "HO",
        "authorized_official_first_name": "MIRAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-576-7378",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MESA GRAND DENTAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mesa Family Chiropractic PLLC
• Mesa Family Physicians, PLC
• Mesa Family Therapy LLC
• Mesa Gastrointestinal Assoc PC
• Mesa General Emergency Physicians, LLC
• Mesa Grande Senior Living, Inc.
• Mesa Health and Community Resource Center LLC
• Mesa Health and Wellness Center
• Mesa Health Improvement Center
• Mesa Health Improvement Center, LLC

• General Practice Dentistry in Mesa, AZ
• Providers in Mesa, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; 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.