DENTAL AND BRACES MESA LLC (NPI# 1659835932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659835932 |
| Entity Type | Organization |
| Organization Name | DENTAL AND BRACES MESA LLC |
| Practice Address |
1245 E Southern Ave Ste 12 Mesa AZ 85204-5138 |
| Mailing Address |
1515 N Gilbert Rd Ste 107-131 Gilbert AZ 85234-2318 |
| Practice Telephone | 4806369970 |
| Mailing Telephone | 6027148203 |
| Enumeration Date | 2019-01-30 |
| Last Update Date | 2019-01-30 |
| Authorized Official Name | LIZ RAMOS (MANAGER) |
| Authorized Official Telephone | 6027148203 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 246754 | 05 |
| Street Address |
1245 E SOUTHERN AVE STE 12 |
| City | MESA |
| State | AZ |
| Zip Code | 85204-5138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386153823 | Angela S Wilson | Dentist | 1245 E Southern Ave Ste 12, Mesa, AZ 85204-5138 | 2017-09-27 |
| 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 | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790264984 | Perspective Health, LLC | Clinic/Center | 1959 S. Power Rd, Suite 103, #206, Mesa, AZ 85206 | 2018-08-09 |
| 1700398682 | Advanced Metabolic Testing LLC | Clinic/Center | 1425 S Greenfield Rd Ste 101, Mesa, AZ 85206-5505 | 2017-10-31 |
| 1417349051 | Lifestyle Health and Wellness | Clinic/Center | 65 E 1st Ave, Ste 101, Mesa, AZ 85210-1456 | 2015-02-19 |
| 1225326796 | Marc Community Resources, Inc. | Clinic/Center | 737 W Guadalupe Rd, Suite 123 and Suite 124, Mesa, AZ 85210-7703 | 2011-07-18 |
| 1528366119 | Eden Adult Care Facility, Inc. | Clinic/Center | 216 S 98th Way, Mesa, AZ 85208-1874 | 2011-03-04 |
| 1588992820 | Ernesta Pearl | Clinic/Center | 2836 S 94th St, Mesa, AZ 85212-1412 | 2009-11-25 |
| 1881826766 | Grace Home Health Care, LLC | Clinic/Center | 1930 S Alma School Rd Ste B206, Mesa, AZ 85210-3041 | 2009-08-11 |
| 1699912360 | All Sports Foundation, Inc | Clinic/Center | 322 E Brown Rd Ste 103, Mesa, AZ 85201-3563 | 2009-01-16 |
| 1801044912 | Concentra Health Services, Inc. | Clinic/Center | 1959 S. Val Vista Road, Suite 106, Mesa, AZ 85204 | 2008-09-03 |
| 1982884425 | Harmony Circle Assisted Living | Clinic/Center | 1841 E Harmony Cir, Mesa, AZ 85204-6037 | 2007-11-13 |
| 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.