Active NPI
Dana Lauren Decker, DMD, MPH
- Dentist
- Mesa, AZ
National Provider Identifier
1992146211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 8669
- Practice address
- 4996 S Power Road
Mesa, AZ 85212 - Phone
- (480) 840-3600
- NPI assigned
- Jul 15, 2013
- Last updated
- Jul 15, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 8669 | AZ | Primary |
Addresses
Primary practice location
4996 S Power Road
Mesa, AZ 85212
Mailing address
943 N Owl Circle
Gilbert, AZ 85234
Phone (925) 876-1437
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 |
|---|---|---|---|
| 8669 | AZ | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cooley Station Kids Dentist and Orthodontics, LLP | Dentist | Past | Accepting new patients |
Interoperability endpoints
- ddecker627596@direct.ochin.org
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Cooley Station Dental Group
- General Practice Dentistry
- Gilbert, AZ
- NPI 1508959263
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373846400000",
"number": "1992146211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "943 N OWL CIRCLE",
"city": "GILBERT",
"state": "AZ",
"postal_code": "85234",
"telephone_number": "925-876-1437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4996 S POWER ROAD",
"city": "MESA",
"state": "AZ",
"postal_code": "85212",
"telephone_number": "480-840-3600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DECKER",
"first_name": "DANA",
"middle_name": "LAUREN",
"name_prefix": "Dr.",
"credential": "DMD, MPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-15",
"last_updated": "2013-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "8669",
"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 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.