Katharine Tate Gifford, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D010036 Issued in AZ

Practice address

1959 S Val Vista Dr Ste 118
Mesa, AZ 85204-7357

Phone

(480) 750-0017

NPI assigned

May 30, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Katharine Tate Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• National Education Institutes, LLC

  dba My Dental Dentistry & Implants

  • General Practice Dentistry
  • Mesa, AZ
  • NPI 1033720784
  NPD

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

{
    "created_epoch": "1527638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1952893646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2545 E MALLORY ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852131517",
            "telephone_number": "480-603-8043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1959 S VAL VISTA DR STE 118",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852047357",
            "telephone_number": "480-750-0017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2545 E Mallory St",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852131517",
            "country_code": "US",
            "telephone_number": "480-603-8043",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2254 E Nora St",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852131562",
            "country_code": "US",
            "telephone_number": "480-603-8043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIFFORD",
        "first_name": "KATHARINE",
        "middle_name": "TATE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-30",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D010036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHARINE",
            "last_name": "TATE",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stephen John Giebel, MD
• Andrea Brooke Giese, BHT
• Terri Ann Gieske, O. D.
• Andrew Gifford
• Gerald Kevin Gifford, D.C.
• Theresa L Gifford
• Gifthealth, Inc. (Gifthealth Pharmacy AZ)
• Gilbert Az Caregiving LLC
• Gilbert Childrens Medical Group Inc
• Gilbert J. Toffol, D.O., PLLC

• 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 Dec 7, 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.