NATHAN WADSWORTH SMITH (NPI# 1912075979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912075979 |
| Entity Type | Individual |
| Full Name | NATHAN WADSWORTH SMITH |
| Credential | DMD |
| Practice Address |
2919 S Ellsworth Rd Suite #118 Mesa AZ 85212-2164 |
| Practice Telephone | 4802191384 |
| Practice Fax Number | 4802191394 |
| Mailing Telephone | 4802191384 |
| Mailing Fax Number | 4802191394 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
6408 | AZ | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | UNITED CONCORDIA | 1902610 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700407764 | Nathan Lorenzo Smith | Social Worker | 100 State St Apt 148, North Haven, CT 06473-2227 | 2020-04-30 |
| 1285184010 | Nathan Dale Smith | Occupational Therapist | 105 Citation Dr Ste B, Danville, KY 40422-8633 | 2016-10-05 |
| 1396056727 | Nathan M Smith | Nurse Practitioner | 3939 Ne Hancock St Ste Sf1, Portland, OR 97212-5321 | 2010-06-30 |
| 1023329778 | Nathan Merrill Smith | Dentist | 140b Purcellville Gateway Dr # 543, Purcellville, VA 20132-3485 | 2010-06-28 |
| 1639491566 | Nathan Dwayne Smith | Pharmacist | 312 Schillinger Rd S Ste Z, Mobile, AL 36608-5032 | 2010-02-19 |
| 1669655270 | Nathan Richard Smith | Pharmacist | 35 Forgham St, Lyons, NY 14489-1327 | 2007-12-06 |
| 1144411075 | Nathan Smith | Counselor | 6641 N Seneca St, Portland, OR 97203-2533 | 2007-08-06 |
| 1043350341 | Nathan John Smith | Audiologist | 320 Cedar St, Wray, CO 80758-1819 | 2007-02-07 |
| 1275607640 | Nathan Warren Smith | Physical Therapy Assistant | 4115 Ea 240 No, Rigby, ID 83442-5879 | 2006-11-20 |
| 1811918329 | Nathan England Smith | Dentist | 148 South 1100 East, American Fork, UT 84003 | 2006-07-21 |
| Street Address |
2919 S ELLSWORTH RD SUITE #118 |
| City | MESA |
| State | AZ |
| Zip Code | 85212-2164 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972502862 | Gabriel U. Ogbonnaya | Internal Medicine | 2919 S Ellsworth Rd, Suite # 124, Mesa, AZ 85212-2164 | 2005-07-21 |
| 1154774305 | Mesa Physical Medicine Pllc | Nurse Practitioner | 2919 S Ellsworth Rd, Suite 102, Mesa, AZ 85212-2164 | 2016-07-22 |
| 1912331158 | Southwest Spine & Rehab Pllc | Chiropractor | 2919 S Ellsworth Rd, Suite 102, Mesa, AZ 85212-2164 | 2013-08-23 |
| 1225381999 | Amy Lynn Wagner | Naturopath | 2919 S Ellsworth Rd, Suite 109, Mesa, AZ 85212-2164 | 2012-10-18 |
| 1023381340 | Scott Alexander Taylor | Chiropractor | 2919 S Ellsworth Rd, 102, Mesa, AZ 85212-2164 | 2012-02-16 |
| 1326344375 | Choice Medical Imaging of Arizona, LLC | Clinic/Center | 2919 S Ellsworth Rd, Suite 101, Mesa, AZ 85212-2164 | 2011-02-08 |
| 1881928273 | Kate Ashley Maine | Physician Assistant | 2919 S Ellsworth Rd, Mesa, AZ 85212-2164 | 2009-10-01 |
| 1710148663 | Custom Smile LLC | Dentist | 2919 S Ellsworth Rd, Suite 141, Mesa, AZ 85212-2164 | 2008-06-23 |
| 1508024175 | Aimee Lynn Hada | Physician Assistant | 2919 S Ellsworth Rd, Ste. 124, Mesa, AZ 85212-2164 | 2008-05-29 |
| 1003089301 | Kristy K Brown | Speech-Language Pathologist | 2919 S Ellsworth Rd, Suite 111, Mesa, AZ 85212-2164 | 2008-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922610302 | West Point Optical Group | Optometrist | 10706 E Point Twenty-two Blvd, #107, Mesa, AZ 85212 | 2020-08-18 |
| 1215553565 | Andrew Eugene Pak | Dentist | 10664 East Point Twenty-two Blvd, Mesa, AZ 85212 | 2020-06-23 |
| 1588200265 | Signal Butte Kids Dentistry and Orthodontics, LLP | Dentist | 10664 E. Point Twenty Two Blvd, Mesa, AZ 85212 | 2019-11-18 |
| 1194371526 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 4316 S Signal Butte Rd, Mesa, AZ 85212 | 2019-08-12 |
| 1194200980 | Highbury Dental Management, LLC | Dentist | 4425 S Mountain Rd, Suite 109, Mesa, AZ 85212 | 2018-09-27 |
| 1033623541 | Latanya Olivia Edenburgs | Case Manager/Care Coordinator | 10436 E Radiant Ave., Mesa, AZ 85212 | 2017-11-20 |
| 1205355880 | Linda Okafor | Nurse Practitioner | 4719 S Calderon Circle, Mesa, AZ 85212 | 2017-09-14 |
| 1689121188 | Agh Mesa LLC | General Acute Care Hospital | 9130 East Elliot Road, Mesa, AZ 85212 | 2016-09-01 |
| 1861841918 | Ryan Blake | Dentist | 4425 S. Mountain Road, Ste 109, Mesa, AZ 85212 | 2016-06-09 |
| 1083089460 | White Glove Health | Nurse Practitioner | 2906 S Lynch Cr, Mesa, AZ 85212 | 2015-12-10 |
| Find all providers in zip 85212 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475060 | Happy Molar Dental LLC | Dentist | 67 N Dobson Rd Ste A-104, Mesa, AZ 85201-6822 | 2020-10-18 |
| 1215553565 | Andrew Eugene Pak | Dentist | 10664 East Point Twenty-two Blvd, Mesa, AZ 85212 | 2020-06-23 |
| 1801438585 | Rauch Dental Associates LLC | Dentist | 2820 E University Dr Ste 108, Mesa, AZ 85213-8505 | 2019-10-14 |
| 1316591407 | George M Magnus | Dentist | 921 S Val Vista Dr Unit 98, Mesa, AZ 85204-5615 | 2019-07-28 |
| 1124672548 | R Keith Farr Dds LLC | Dentist | 4540 E Baseline Rd Ste 111, Mesa, AZ 85206-4616 | 2019-07-25 |
| 1578116679 | Arizona Dental Professionals, P.C. | Dentist | 10749 E Southern Ave, Mesa, AZ 85209-3885 | 2019-07-18 |
| 1629621982 | My Dentist Enterprises, Inc. | Dentist | 2045 S Vineyard Ste 153, Mesa, AZ 85210-6892 | 2019-07-16 |
| 1932761947 | Tyler John Bingham | Dentist | 2537 N Maple, Mesa, AZ 85215-1723 | 2019-07-01 |
| 1598228132 | Joe J Panelli | Dentist | 2824 N Power Rd Ste 108, Mesa, AZ 85215-1673 | 2019-04-10 |
| 1194291997 | Arizona Discount Dentistry Pllc | Dentist | 2500 S Power Rd Ste 127, Mesa, AZ 85209-6689 | 2018-10-18 |
| 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.