DRS OF SMILES PC (NPI# 1952488710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952488710 |
| Entity Type | Organization |
| Organization Name | DRS OF SMILES PC |
| Other Organization Name | SCOTT LESUEUR AND CHARLES DODARO DDS |
| Practice Address |
1056 S Val Vista Dr Ste 1 Mesa AZ 85204-5625 |
| Practice Telephone | 4808346991 |
| Practice Fax Number | 4806548836 |
| Mailing Telephone | 4808346991 |
| Mailing Fax Number | 4806548836 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2011-02-15 |
| Authorized Official Name | SCOTT TAYLOR LESUEUR (PRESIDENT) |
| Authorized Official Telephone | 4808346991 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 302F00000X | Exclusive Provider Organization | 2695 | AZ | Managed Care Organizations |
| Y | 302F00000X | Exclusive Provider Organization | 3434 | AZ | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | ARIZONA MED LIC DENTAL | 2695 | 01 |
| AZ | ARIZONA MED LIC DENTAL | 3434 | 01 |
| Other Name | Type Code |
|---|---|
| Scott Lesueur and Charles Dodaro DDS | Doing Business As Name - Organization |
| Street Address |
1056 S VAL VISTA DR STE 1 |
| City | MESA |
| State | AZ |
| Zip Code | 85204-5625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326030909 | Jeffrey Sheldon Levine | Orthopaedic Surgery | 1056 S Val Vista Dr, Suite #2, Mesa, AZ 85204-5667 | 2005-08-18 |
| 1629249644 | Charles A Dodaro | Dentist | 1056 S Val Vista Dr, Suite 1, Mesa, AZ 85204-5667 | 2008-03-18 |
| 1033387139 | Southwest Institute of Arthroscopic and Reconstructive Surgery, Ltd. | Specialist | 1056 S Val Vista Dr, Suite 2, Mesa, AZ 85204-5667 | 2008-02-12 |
| 1972787471 | Red Mountain Endodontics | Dentist | 1056 S Val Vista Dr, Suite #3, Mesa, AZ 85204-5667 | 2007-12-20 |
| 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 | 302F00000X |
| Grouping | Managed Care Organizations |
| Classification | Exclusive Provider Organization |
| (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023441987 | New Life Care Center Int | Exclusive Provider Organization | 650 S Country Club Dr Apt 125, Mesa, AZ 85210-2341 | 2013-08-14 |
| 1043544802 | Lets Be Pals LLC | Exclusive Provider Organization | 1101 S Sycamore, 323, Mesa, AZ 85202-4005 | 2009-09-28 |
| 1730419680 | American Health Group | Exclusive Provider Organization | 2152 S Vineyard Ste 103, Mesa, AZ 85210-6881 | 2009-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497299101 | Lifestyles | Exclusive Provider Organization | 4385 E Wild Elk Trl, Flagstaff, AZ 86004-7921 | 2016-12-14 |
| 1356794150 | David Ryan Schaner | Exclusive Provider Organization | 12533 W Coldwater Springs Blvd, Avondale, AZ 85323-8320 | 2016-07-15 |
| 1528415650 | Nazcare, Inc. | Exclusive Provider Organization | 8200 E. Jacque Dr., Prescott Valley, AZ 86314 | 2016-05-18 |
| 1508228701 | Sfc Shane | Exclusive Provider Organization | 460 E Osage Ave, 1, Apache Junction, AZ 85119-3748 | 2016-03-25 |
| 1568845592 | Desert Journey, LLC | Exclusive Provider Organization | 904 E Prescott Pl, Chandler, AZ 85249-5131 | 2015-07-08 |
| 1386049419 | Linda L Austin, Md PC | Exclusive Provider Organization | 1301 E Mcdowell Rd Ste 103, Phoenix, AZ 85006-2605 | 2014-10-31 |
| 1720480940 | Above and Beyond Care Providers | Exclusive Provider Organization | 2136 E. Bowker St, Phoenix, AZ 85040 | 2014-09-18 |
| 1578979118 | White Mountain Surgical Specialist | Exclusive Provider Organization | 2650 E Show Low Lake Rd Ste 2, Show Low, AZ 85901-7955 | 2014-07-03 |
| 1902246291 | Steven R Holt Od Pllc | Exclusive Provider Organization | 15341 W Waddell Rd Ste 106, Surprise, AZ 85379-5169 | 2013-07-01 |
| 1598009722 | Jeffery B Bushman Do PC | Exclusive Provider Organization | 905 N Bowie Ave, Willcox, AZ 85643-1145 | 2012-11-10 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DRS OF SMILES PC.
| 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.