NPIMap

Organization Active NPI

DRS of Smiles PC

Doing business as Scott Lesueur and Charles Dodaro DDS

  • Exclusive Provider Organization
  • Mesa, AZ
National Provider Identifier
1952488710
Registry record updated Feb 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
3434 Issued in AZ
Legal business name
DRS OF SMILES PC
Doing business as
Scott Lesueur and Charles Dodaro DDS
Practice address
1056 S Val Vista Dr
Ste 1
Mesa, AZ 85204-5625
Phone
(480) 834-6991
Fax
(480) 654-8836
NPI assigned
Nov 1, 2006
Last updated
Feb 15, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2011

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

Authorized official

Name
Scott Taylor Lesueur, DDSNPI 1073797411
Title
President
Phone
(480) 834-6991

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
Exclusive Provider Organization 302F00000X 2695 AZ
Exclusive Provider Organization 302F00000X 3434 AZ Primary

Addresses

Primary practice location

1056 S Val Vista Dr
Ste 1
Mesa, AZ 85204-5625

Mailing address

1056 S Val Vista Dr
Ste 1
Mesa, AZ 85204-5625
Phone (480) 834-6991

Other identifiers 2

IdentifierTypeStateIssuer
2695OtherAZARIZONA MED LIC DENTAL
3434OtherAZARIZONA MED LIC DENTAL

Other names 1

  • Scott Lesueur and Charles Dodaro DDS Doing business as

National Provider Directory

National Provider Directory

Locations

1056 S Val Vista Dr
Ste 1
Mesa, AZ 85204
Phone (480) 834-6991

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297728000000",
    "number": "1952488710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1056 S VAL VISTA DR",
            "address_2": "STE 1",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852045625",
            "telephone_number": "480-834-6991",
            "fax_number": "480-654-8836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1056 S VAL VISTA DR",
            "address_2": "STE 1",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852045625",
            "telephone_number": "480-834-6991",
            "fax_number": "480-654-8836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS OF SMILES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2011-02-15",
        "status": "A",
        "authorized_official_last_name": "LESUEUR",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "TAYLOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-834-6991",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "AZ",
            "license": "2695",
            "primary": false
        },
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "AZ",
            "license": "3434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA MED LIC DENTAL",
            "identifier": "2695",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA MED LIC DENTAL",
            "identifier": "3434",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scott Lesueur and Charles Dodaro DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 15, 2011; 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.