DESERT STAR DENTAL, PLLC (NPI# 1114406329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114406329 |
| Entity Type | Organization |
| Organization Name | DESERT STAR DENTAL, PLLC |
| Other Organization Name | MIRADOR DENTAL |
| Practice Address |
894 E Warner Rd # B105 Gilbert AZ 85296-2935 |
| Mailing Address |
216 W Jasper Dr Gilbert AZ 85233-8333 |
| Practice Telephone | 4804718553 |
| Mailing Telephone | 5102892261 |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2018-08-08 |
| Authorized Official Name | MARIA FATIMA LEWIS (OWNER) |
| Authorized Official Telephone | 5102892261 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Mirador Dental | Doing Business As Name - Organization |
| Street Address |
894 E WARNER RD # B105 |
| City | GILBERT |
| State | AZ |
| Zip Code | 85296-2935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124625793 | Gilbert Crossroads Kids' Dentists and Orthodontics, LLP | Dentist | 835 S. Gilbert Rd, Suite 104, Gilbert, AZ 85296 | 2020-10-06 |
| 1306455969 | Calm Care Living | Community/Behavioral Health | 1525 S Higley Rd, #104-6769, Gilbert, AZ 85296 | 2020-07-29 |
| 1366080970 | Hannah Golladay | Behavior Technician | 1166 S Gilbert Road, Suite 106, Mesa, AZ 85296 | 2019-12-13 |
| 1194284729 | Kege Health, LLC | Nurse Practitioner | 1206 E Warner Rd Ste 101f, Gilbert, AZ 85296 | 2019-03-13 |
| 1841757762 | Windhorse Counseling | Counselor | 1166 E Warner Road, Suite 203, Gilbert, AZ 85296 | 2019-02-27 |
| 1417424284 | Ashton N Wright | Behavior Technician | 1166 E Gilbert Rd, #106, Gilbert, AZ 85296 | 2018-10-30 |
| 1346717246 | Robison Orthodontics LLC | Dentist | 1355 S Higley Rd # 105, Gilbert, AZ 85296 | 2018-10-29 |
| 1518441831 | Kara Lyn Holyoak | Physician Assistant | 1359 S. Porter St., Gilbert, AZ 85296 | 2018-09-21 |
| 1225519119 | Jennifer Anne Goodman | Specialist/Technologist | 70 S Val Vista Dr A3, Gilbert, AZ 85296 | 2018-08-28 |
| 1437642329 | Greta Shumway | Counselor | 690 E. Warner Road, #115, Gilbert, AZ 85296 | 2018-06-14 |
| Find all providers in zip 85296 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114581659 | Stott Family & Cosmetic Dentistry Pllc | Clinic/Center | 857 E Warner Rd Ste 103, Gilbert, AZ 85296-3076 | 2019-04-30 |
| 1144791955 | Steven A. Schiffenhaus Dmd Pllc | Clinic/Center | 1496 N Higley Rd Ste 104, Gilbert, AZ 85234-1601 | 2018-12-06 |
| 1487120531 | Dr Zia & Associates Pllc | Clinic/Center | 832 S Greenfield Rd Ste 104, Gilbert, AZ 85296-4008 | 2018-10-16 |
| 1144737347 | Danick Enterprises LLC | Clinic/Center | 4365 E Pecos Rd Ste 127, Gilbert, AZ 85295-8052 | 2018-01-09 |
| 1437690450 | Erskine & Barber LLC | Clinic/Center | 5656 S. Power Rd #129, Gilbert, AZ 85295 | 2017-03-09 |
| 1982887592 | L Morse Dmd PC | Clinic/Center | 825 S Cooper Rd, Ste B9, Gilbert, AZ 85233-7575 | 2007-12-06 |
| 1841785722 | Value Dental Gilbert LLC | Clinic/Center | 2501 S Market St, Gilbert, AZ 85295-1300 | 2018-06-25 |
| 1396294542 | Value Dental Centers Gilbert Az, LLC | Clinic/Center | 2501 S Market St, Gilbert, AZ 85295-1300 | 2016-09-29 |
| 1528440401 | Smile Clinique Gilbert | Clinic/Center | 110 S Val Vista Dr Ste B7, Gilbert, AZ 85296-1373 | 2015-06-26 |
| 1689005456 | Mitchell Lepetich Dmd, Plc | Clinic/Center | 2680 S Val Vista Dr Ste 125, Gilbert, AZ 85295-2154 | 2013-12-04 |
| Find all providers in GILBERT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.