MEHRAN R. LARI, DDS, PLLC (NPI# 1093083602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093083602 |
| Entity Type | Organization |
| Organization Name | MEHRAN R. LARI, DDS, PLLC |
| Other Organization Name | CREATIVE SMILES |
| Practice Address |
15631 N Oracle Rd Suite 187 Tucson AZ 85739-8691 |
| Practice Telephone | 5208258112 |
| Practice Fax Number | 5208252242 |
| Mailing Telephone | 5208258112 |
| Mailing Fax Number | 5208252242 |
| Enumeration Date | 2011-12-09 |
| Last Update Date | 2011-12-09 |
| Authorized Official Name | DR. MEHRAN RASTEGAR-LARI (OWNER) |
| Authorized Official Telephone | 5208201319 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
6100 | AZ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 144939 | 05 |
| Other Name | Type Code |
|---|---|
| Creative Smiles | Doing Business As Name - Organization |
| Street Address |
15631 N ORACLE RD SUITE 187 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85739-8691 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265418529 | Melanie Dawn Gaston | Nurse Practitioner | 15631 N Oracle Rd, Suite 141, Tucson, AZ 85739-8691 | 2005-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215276811 | Kari Miller | Respite Care | 48415 E Eaglenest Trail, Tucson, AZ 85739 | 2013-02-04 |
| 1073757670 | Diversified Pharmacy Solutions, LLC | Pharmacy | 63717 E Saddle Brooke Blvd, # 1, Tucson, AZ 85739 | 2009-04-27 |
| 1134308596 | Desert Palms Physical Therapy- Catalina PC | Physical Therapist | 15631 N Oracle Road, Suite 111, Tucson, AZ 85739 | 2007-11-01 |
| 1184784589 | Barbara Marie Mautner | Counselor | 37632 S. Mashie Dr., Tucson, AZ 85739 | 2006-12-08 |
| 1972614089 | W & W Rehab Services,l.l.c. | Physical Therapist | 15969 N. Oracle Rd., 171, Tucson, AZ 85739 | 2006-08-31 |
| 1750318036 | Daniel E Eggleston | Radiology | 38339 S Granite Crest, Tucson, AZ 85739 | 2006-06-26 |
| 1801377601 | Willard Dean Lynch | Nurse Practitioner | 39580 S Lago Del Oro Pkwy, Tucson, AZ 85739 | 2018-08-28 |
| 1699811588 | Joel Moncivaiz | Family Medicine | 63701 E Saddlebrooke Blvd, Ste F, Tucson, AZ 85739 | 2007-01-29 |
| 1770688988 | Korey Lynn Toensing | Chiropractor | 15601 N Oracle Rd, Catalina, AZ 85739 | 2006-09-13 |
| 1720044423 | Patrick B Shaffer | Dentist | 16701 N Oracle Rd, Suite 151, Tucson, AZ 85739 | 2006-04-22 |
| Find all providers in zip 85739 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689130650 | James F. Raymond Dmd Pllc | Clinic/Center | 3001 E Skyline Dr Ste 101, Tucson, AZ 85718-2144 | 2019-02-14 |
| 1134506116 | Mark Maklin Dmd | Clinic/Center | 2370 N Wyatt Dr Ste 110, Tucson, AZ 85712-2119 | 2015-04-29 |
| 1750607230 | Dan E Hornsby, D.d.s., P.c | Clinic/Center | 7402 N La Cholla Blvd, Tucson, AZ 85741 | 2010-04-09 |
| 1417954991 | Dental-net, Inc. | Clinic/Center | 1057 N Kolb Rd, Tucson, AZ 85710-1328 | 2005-06-30 |
| 1821621756 | J.j. Dental, Inc. | Clinic/Center | 4550 E Grant Rd, Tucson, AZ 85712-2617 | 2020-02-19 |
| 1306499017 | David Spalding Dds | Clinic/Center | 7518 N La Cholla Blvd, Tucson, AZ 85741-2307 | 2019-07-22 |
| 1245700616 | Ismile Cms | Clinic/Center | 4600 S Park Ave Ste 6, Tucson, AZ 85714-1697 | 2018-11-28 |
| 1285104877 | Tbd IIi, Pllc | Clinic/Center | 1802 E Prince Rd, Tucson, AZ 85719-1965 | 2018-11-27 |
| 1144729849 | Casas Adobes Dentistry, Pllc | Clinic/Center | 7477 N Oracle Rd, Tucson, AZ 85704-6306 | 2018-02-08 |
| 1043685357 | Ronald G Deriana Dds Pllc | Clinic/Center | 1607 W Ina Rd, Tucson, AZ 85704-1979 | 2015-12-11 |
| Find all providers in TUCSON | ||||
Please comment or provide details below to improve the information on MEHRAN R. LARI, DDS, PLLC.
| 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.