DR. TODD F JORGENSON (NPI# 1427101104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427101104 |
Entity Type | Individual |
Full Name | DR. TODD F JORGENSON |
Credential | D.M.D., M.S. |
Practice Address |
3048 E Baseline Rd Suite 112 Mesa AZ 85204-7286 |
Practice Telephone | 4805584500 |
Mailing Telephone | 4805584500 |
Enumeration Date | 2007-01-18 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0300X |
Dentist Specialization: Periodontics |
5804 | AZ | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629006366 | Todd A Jorgenson | Chiropractor | 8888 Jefferson Hwy Ste A, Baton Rouge, LA 70809-2421 | 2006-06-29 |
1710936992 | Todd A Jorgenson | Family Medicine | 407 W 66th St, Richfield, MN 55423 | 2006-05-08 |
Street Address |
3048 E BASELINE RD SUITE 112 |
City | MESA |
State | AZ |
Zip Code | 85204-7286 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821091497 | Donald Lynn Griner | Family Medicine | 3048 E Baseline Rd, Ste 109, Mesa, AZ 85204-7287 | 2005-05-27 |
1225537582 | Esther Lopez-moryl | Social Worker | 3048 E Baseline Rd, Mesa, AZ 85204-7286 | 2018-02-01 |
1104351824 | Living In Balance Counseling, Pllc | Marriage & Family Therapist | 3048 E Baseline Rd, Suite 108, Mesa, AZ 85204-7286 | 2017-05-01 |
1881134948 | Bella Rosa Counseling and Consultation Services, LLC | Counselor | 3048 E Baseline Rd, Suite 108, Mesa, AZ 85204-7286 | 2017-03-08 |
1154874030 | Allergy Navigators, Pllc | Nurse Practitioner | 3048 E Baseline Rd, 122, Mesa, AZ 85204-7286 | 2016-07-27 |
1992153696 | Amp Healthcare Consulting, Pllc | Nurse Practitioner | 3048 E Baseline Rd, 122, Mesa, AZ 85204-7286 | 2016-06-03 |
1710347042 | Arizona Family Institute | Social Worker | 3048 E Baseline Rd, Suite 107, Mesa, AZ 85204-7286 | 2016-02-29 |
1831596915 | Az Child and Family Psychological Services, Pllc. | Community/Behavioral Health | 3048 E Baseline Rd, Suite 107, Mesa, AZ 85204-7286 | 2014-12-04 |
1659775591 | Kristen Nicole Sharma | Physician Assistant | 3048 E Baseline Rd, Suite 120, Mesa, AZ 85204 | 2014-10-21 |
1194133181 | Amy Safier | Counselor | 3048 E Baseline Rd, Suite 108, Mesa, AZ 85204-7286 | 2014-07-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194374819 | Luminations Healing Center, LLC | Social Worker | 1237 S. Val Vista Dr. #221, Mesa, AZ 85204 | 2019-09-05 |
1881160356 | Wanjiru Landers | Student in an Organized Health Care Education/Training Program | 550 S Linda Circle, Mesa, AZ 85204 | 2018-10-22 |
1649754235 | Adam Desnous | Specialist/Technologist | 751 S Daley, Mesa, AZ 85204 | 2018-09-19 |
1982128187 | Michael Anthony Jones | Counselor | 1107 North Gilbert Rd, Mesa, AZ 85204 | 2017-07-29 |
1295287225 | Scottsdale Healthcare Corp | Family Medicine | 2530 W. Southern Ave, Mesa, AZ 85204 | 2016-10-25 |
1427504158 | Richard White | Physician Assistant | 2345 E Southern Ave # 101, Mesa, AZ 85204 | 2016-09-01 |
1548716780 | Pain Stop Accident Injury LLC | Chiropractor | 425 E 11th Ave, Mesa, AZ 85204 | 2016-08-28 |
1154704252 | Glenn Taylor Lesueur | Dentist | 1056 S. Val Vista Dr., Suite 1, Mesa, AZ 85204 | 2015-07-07 |
1073932513 | Naomi Devine | Nurse Practitioner | 1840 South Stapley Drive, Suite 101, Mesa, AZ 85204 | 2014-04-14 |
1609292531 | John Kamau | Counselor | 1060 S Lobin Ln, Mesa, AZ 85204 | 2014-03-17 |
Find all providers in zip 85204 |
Taxonomy Code | 1223P0300X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Periodontics |
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376019075 | East Valley Implant & Periodontal Center | Dentist | 3048 E Baseline Rd Ste 112, Mesa, AZ 85204-7287 | 2018-10-19 |
1518232701 | Niels Jensen | Dentist | 6755 E Superstition Springs Blvd Ste 102, Mesa, AZ 85206-4375 | 2012-03-20 |
1609166644 | Nicholas D Allan | Dentist | 2831 E Southern Ave, #215, Mesa, AZ 85204-5500 | 2011-04-11 |
1891795282 | Paul Wadley Haycock | Dentist | 6755 E Superstition Springs Blvd, Suite 102, Mesa, AZ 85206-4373 | 2005-07-28 |
1457900656 | East Valley Implant and Periodontal Pllc | Dentist | 3048 E Baseline Rd Ste 112, Mesa, AZ 85204-7287 | 2019-09-10 |
1568980001 | Aaron Clark Nelson | Dentist | 6755 E Superstition Springs Blvd Ste 102, Mesa, AZ 85206-4375 | 2017-09-05 |
1811288384 | Satish S. Kumar | Dentist | 5855 E Still Cir, Mesa, AZ 85206 | 2011-05-02 |
1871805291 | Joseph Wayne Capps | Dentist | 4996 S Power Rd, Mesa, AZ 85212-3602 | 2010-07-14 |
1063649192 | East Valley Periodontics | Dentist | 6755 E Superstition Springs Blvd, Ste. 102, Mesa, AZ 85206-4373 | 2009-06-16 |
1629223367 | Christine Ann Halket | Dentist | 5855 E Still Cir, Mesa, AZ 85206-3631 | 2008-11-21 |
Find all providers in MESA |
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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.