TEPHROCACTUS LLC (NPI# 1033508031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033508031 |
| Entity Type | Organization |
| Organization Name | TEPHROCACTUS LLC |
| Other Organization Name | GILBERT ROAD DENTAL CARE |
| Practice Address |
2158 N Gilbert Rd Mesa AZ 85203-2109 |
| Mailing Address |
Po Box 61025 Phoenix AZ 85082-1025 |
| Practice Telephone | 4806497200 |
| Enumeration Date | 2015-01-13 |
| Last Update Date | 2015-04-09 |
| Authorized Official Name | JASEN STIGER (CORPORATE SECRETARY) |
| Authorized Official Telephone | 6022250595 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
F000539 | AZ | Dental Providers |
| Other Name | Type Code |
|---|---|
| Gilbert Road Dental Care | Doing Business As Name - Organization |
| Street Address |
2158 N GILBERT RD |
| City | MESA |
| State | AZ |
| Zip Code | 85203-2109 |
| 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 |
| 1457791774 | Nicole Desiree Lattanzio | Dietitian, Registered | 2158 N Gilbert Rd, Mesa, AZ 85203-2109 | 2013-07-01 |
| 1730490228 | North Groves Dental Group | Clinic/Center | 2158 N Gilbert Rd, Ste 123, Mesa, AZ 85203 | 2010-06-29 |
| 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 | 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.