NORTH GROVES DENTAL GROUP (NPI# 1730490228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730490228 |
Entity Type | Organization |
Organization Name | NORTH GROVES DENTAL GROUP |
Other Organization Name | GILBERT ROAD DENTAL CARE |
Practice Address |
2158 N Gilbert Rd Ste 123 Mesa AZ 85203 |
Practice Telephone | 4806497200 |
Mailing Telephone | 4806497200 |
Enumeration Date | 2010-06-29 |
Last Update Date | 2010-09-15 |
Authorized Official Name | JASON KOLE PERKINS (OWNER) |
Authorized Official Telephone | 4806497200 |
Authorized Official Credential | D.D.S. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
7286 | AZ | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
GILBERT ROAD DENTAL CARE | Doing Business As Name - Organization |
Street Address |
2158 N GILBERT RD STE 123 |
City | MESA |
State | AZ |
Zip Code | 85203 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568416790 | Rcdc of Mesa Plc | Dermatology | 2158 N Gilbert Rd, Suite 121a, Mesa, AZ 85203-2109 | 2006-05-20 |
1093314775 | Naioom Dentistry Pllc | Dentist | 2158 N Gilbert Rd, Mesa, AZ 85203-2109 | 2020-10-22 |
1457708786 | Brasiliopuntia, LLC | Dentist | 2158 N Gilbert Rd, Suite 123, Mesa, AZ 85203-2109 | 2016-05-17 |
1386020519 | Central Arizona Endoscopy, LLC | Anesthesiology | 2158 N Gilbert Rd, Bldg 1 Suite 103, Mesa, AZ 85203-2109 | 2015-08-11 |
1235526906 | Stenopuntia LLC | Dentist | 2158 N Gilbert Rd, Suite 123, Mesa, AZ 85203-2109 | 2015-04-21 |
1033508031 | Tephrocactus LLC | Dentist | 2158 N Gilbert Rd, Mesa, AZ 85203-2109 | 2015-01-13 |
1457791774 | Nicole Desiree Lattanzio | Dietitian, Registered | 2158 N Gilbert Rd, Mesa, AZ 85203-2109 | 2013-07-01 |
1083893911 | Lori J Olsen | Counselor | 2158 N Gilbert Rd, Suite 110, Mesa, AZ 85203-2109 | 2007-10-28 |
1750312435 | Central Arizona Endoscopy LLC | Clinic/Center | 2158 N Gilbert Rd, Building 1 Suite 103, Mesa, AZ 85203-2112 | 2006-07-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073147195 | Armada Group-az, LLC | Residential Treatment Facility, Physical Disabilities | 1612 E. Knoll Circle, Mesa, AZ 85203 | 2020-02-27 |
1598251142 | Jonathan Harris | Physician Assistant | 220 N Stapley Dr Ste B, Mesa, AZ 85203 | 2018-07-06 |
1316437502 | Arizona's Children Association | Clinic/Center | 1345 E Main St Ste 104, Mesa, AZ 85203 | 2018-05-14 |
1922506856 | Hernimarc Durable Medical Equipment | Durable Medical Equipment & Medical Supplies | 1350 E Mckellips Rd Ste 3, Mesa, AZ 85203 | 2018-01-25 |
1912411638 | Charles Rudy Wermuth | Surgery | Charles R. Mermuth M.d., 2615 N Barkley, Mesa, AZ 85203 | 2017-11-17 |
1841714631 | J. Susanne Davis | Chiropractor | 62 N. Stapley Drive, Mesa, AZ 85203 | 2017-08-02 |
1699295329 | Preferred Homecare Infusion LLC | Home Health | 1134 E University Dr Ste 110, Mesa, AZ 85203 | 2017-06-23 |
1619407442 | Modern Vascular Institute LLC | Internal Medicine | 535 E Mckellips Rd Ste 115, Mesa, AZ 85203 | 2017-06-14 |
1962951632 | Julia A. Gunthner | Counselor | 1528 E. Gary St., Mesa, AZ 85203 | 2016-09-23 |
1689121105 | Justine Muntz | Occupational Therapy Assistant | 1304 E. Harvest, Mesa, AZ 85203 | 2016-09-01 |
Find all providers in zip 85203 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396354205 | Freedom Dental, Pllc | Clinic/Center | 6328 E Brown Rd Ste 105, Mesa, AZ 85205-4841 | 2020-07-27 |
1972061364 | Dr Lorin Eric Jackrel, Dmd, PC | Clinic/Center | 2150 S Dobson Rd Ste 2, Mesa, AZ 85202-6487 | 2019-03-05 |
1366906190 | Bella Via Dental, Pllc | Clinic/Center | 4425 S Mountain Rd Ste 106, Mesa, AZ 85212-7132 | 2019-01-25 |
1497271068 | Mesa Dental Pllc | Clinic/Center | 1423 S Higley Rd Ste 101, Mesa, AZ 85206-3449 | 2017-08-16 |
1851815575 | Crismon Road Dmso LLC | Clinic/Center | 1157 S Crismon Rd Ste 103, Mesa, AZ 85208-2661 | 2017-08-03 |
1386847218 | Arizona Dental Health, Inc. | Clinic/Center | 2500 S. Power Rd. Ste. 105, Mesa, AZ 85209 | 2007-06-07 |
1821607342 | Central Valley Dental Care LLC | Clinic/Center | 5440 E Southern Ave Ste 107, Mesa, AZ 85206-2779 | 2020-07-30 |
1497379564 | Denver J. Palmer, D.m.d., P.C. | Clinic/Center | 6852 E Brown Rd, Mesa, AZ 85207-3706 | 2020-06-03 |
1386278679 | Advanced Dental Prosthetics | Clinic/Center | 107 N Greenfield Rd Ste 1, Mesa, AZ 85205-7802 | 2020-02-26 |
1447898481 | Ge Dental Pllc | Clinic/Center | 944 N Gilbert Rd Ste 104, Mesa, AZ 85203-5836 | 2019-12-19 |
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.