NPIMap

Organization Active NPI

Red Mountain Endodontics

  • Endodontics
  • Mesa, AZ
National Provider Identifier
1972787471
Registry record updated Dec 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
4318 Issued in AZ
Legal business name
RED MOUNTAIN ENDODONTICS
Practice address
1056 S Val Vista Dr
Suite #3
Mesa, AZ 85204-5667
Phone
(480) 396-6100
Fax
(480) 396-7476
NPI assigned
Dec 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2007

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

Authorized official

Name
Dr. Steven L Frost, D.D.S.NPI 1033271945
Title
Owner
Phone
(480) 361-6100

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 4318 AZ Primary

Addresses

Primary practice location

1056 S Val Vista Dr
Suite #3
Mesa, AZ 85204-5667

Mailing address

1056 S Val Vista Dr
Suite #3
Mesa, AZ 85204-5667
Phone (480) 396-6100

National Provider Directory

National Provider Directory
Tax ID family
Red Mountain Endodontics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1056 S Val Vista Dr
Ste 3
Mesa, AZ 85204
Phone (480) 396-6100

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198108800000",
    "number": "1972787471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1056 S VAL VISTA DR",
            "address_2": "SUITE #3",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852045667",
            "telephone_number": "480-396-6100",
            "fax_number": "480-396-7476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1056 S VAL VISTA DR",
            "address_2": "SUITE #3",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852045667",
            "telephone_number": "480-396-6100",
            "fax_number": "480-396-7476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED MOUNTAIN ENDODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-20",
        "last_updated": "2007-12-20",
        "status": "A",
        "authorized_official_last_name": "FROST",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-361-6100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "AZ",
            "license": "4318",
            "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 Dec 20, 2007; 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.