Active NPI
Alexander Homer, DMD
- Endodontics
- Mesa, AZ
National Provider Identifier
1962186734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- D012471
- Practice address
- 4338 E Florian Ave Ste 104
Mesa, AZ 85206-2688 - Phone
- (480) 396-6100
- NPI assigned
- Jun 12, 2023
- Last updated
- Jul 25, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | D012471 | AZ | Primary |
Addresses
Primary practice location
4338 E Florian Ave Ste 104
Mesa, AZ 85206-2688
Mailing address
5750 S 101St Way
Mesa, AZ 85212-1165
Phone (605) 759-6279
Other practice location 1
18610 E Rittenhouse Rd Ste 104
Queen Creek, AZ 85142-4504
Phone (480) 988-0020
Other practice location 2
3048 E Baseline Rd Ste 111
Mesa, AZ 85204-7287
Phone (480) 969-4774
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D012471 | AZ | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753401600000",
"number": "1962186734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5750 S 101ST WAY",
"city": "MESA",
"state": "AZ",
"postal_code": "852121165",
"telephone_number": "605-759-6279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4338 E FLORIAN AVE STE 104",
"city": "MESA",
"state": "AZ",
"postal_code": "852062688",
"telephone_number": "480-396-6100"
}
],
"practiceLocations": [
{
"address_1": "18610 E Rittenhouse Rd Ste 104",
"address_purpose": "LOCATION",
"city": "Queen Creek",
"state": "AZ",
"postal_code": "851424504",
"country_code": "US",
"telephone_number": "480-988-0020",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3048 E Baseline Rd Ste 111",
"address_purpose": "LOCATION",
"city": "Mesa",
"state": "AZ",
"postal_code": "852047287",
"country_code": "US",
"telephone_number": "480-969-4774",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOMER",
"first_name": "ALEXANDER",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-12",
"last_updated": "2025-07-25",
"certification_date": "2025-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "AZ",
"license": "D012471",
"primary": true
}
],
"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 Jul 25, 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.