DESERT MISSION INC (NPI# 1114189487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114189487 |
| Entity Type | Organization |
| Organization Name | DESERT MISSION INC |
| Other Organization Name | CHILDREN'S DENTAL CLINIC |
| Practice Address |
9201 N 5th St Phoenix AZ 85020-2532 |
| Practice Telephone | 6028706060 |
| Practice Fax Number | 6023315819 |
| Mailing Telephone | 6028706060 |
| Mailing Fax Number | 6023315819 |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2009-11-09 |
| Authorized Official Name | MS. CINDY HALLMAN (VICE PRESIDENT) |
| Authorized Official Telephone | 6028706060 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
F0049 | AZ | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Children's Dental Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538250535 | Desert Mission Inc | Clinic/Center | 9201 N 5th St, Phoenix, AZ 85020-2532 | 2006-09-27 |
| 1497109599 | Desert Mission Inc | Clinic/Center | 303 E Eva St, Phoenix, AZ 85020-2526 | 2016-04-15 |
| 1093957748 | Desert Mission Inc | Community/Behavioral Health | 9201 N 5th St, Phoenix, AZ 85020-2532 | 2009-03-26 |
| Street Address |
9201 N 5TH ST |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85020-2532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538250535 | Desert Mission Inc | Clinic/Center | 9201 N 5th St, Phoenix, AZ 85020-2532 | 2006-09-27 |
| 1811517816 | Aline Catherine Kraus | Student in an Organized Health Care Education/Training Program | 9201 N 5th St, Phoenix, AZ 85020-2532 | 2020-04-20 |
| 1770103848 | Ramy El Mankabady | Student in an Organized Health Care Education/Training Program | 9201 N 5th St, Phoenix, AZ 85020-2532 | 2020-04-19 |
| 1508491119 | Nicole Vaudrin | Dietitian, Registered | 9201 N 5th St, Phoenix, AZ 85020-2532 | 2020-03-04 |
| 1942854393 | Nicole Zahri | Counselor | 9201 N 5th St, Phoenix, AZ 85020-2532 | 2019-07-24 |
| 1225692676 | Pedram Motamedi | Student in an Organized Health Care Education/Training Program | 9201 N 5th St, Phoenix, AZ 85020-2532 | 2019-04-30 |
| 1588125397 | Nathan Mcclane | Student in an Organized Health Care Education/Training Program | 9201 N 5th St, Phoenix, AZ 85020-2532 | 2019-03-26 |
| 1033644810 | Adriana Guadalupe Cardona | Social Worker | 9201 N 5th St, Phoenix, AZ 85020-2532 | 2017-04-28 |
| 1215309919 | Alicia Ottmann | Physician Assistant | 9201 N 5th St, Phoenix, AZ 85020-2532 | 2015-10-21 |
| 1467823435 | Nannie Jackson | Counselor | 9201 N 5th St, Phoenix, AZ 85020-2532 | 2015-10-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124683537 | Joseph A Jones | Pharmacist | 7543 N 20th St, Phoenix, AZ 85020 | 2019-05-01 |
| 1871022210 | Amber L Enright | Physical Therapist | 1675 E Morten Ave, 4155, Phoenix, AZ 85020 | 2017-06-08 |
| 1518407683 | Harmony Dental Partners, LLC | Dentist | 7150 North 7th Street, Phoenix, AZ 85020 | 2017-03-08 |
| 1104369495 | Michelle Mastro | Registered Nurse | 1234 E. Northern Avenue, Phoenix, AZ 85020 | 2016-11-18 |
| 1912363003 | Charles D. Atkinson | Social Worker | 1716 East Seldon Lane, Phoenix, AZ 85020 | 2016-01-06 |
| 1477928471 | Erin Testa | Psychologist | 7600 N 16th St Ste 218, Phoenix, AZ 85020 | 2015-12-02 |
| 1972977569 | Borpan Monitoring, Pllc | Psychiatry & Neurology | 7000 N 16th Street Ste 120 # 281, Phoenix, AZ 85020 | 2015-11-19 |
| 1275906984 | Summer Macey | Nurse Practitioner | 9225 N. 3rd St #304, Affiliated Hospitalists, Phoenix, AZ 85020 | 2015-11-03 |
| 1356712772 | Maurie S Comenzo | Clinic/Center | 11024 North 28th Drive/suite #200, Lake Biltmore Corporate Center, Phoenix, AZ 85020 | 2015-10-12 |
| 1700260692 | Stansberry Family Dentistry Pllc | Dentist | 7501 N. 16th St. #100, Phoenix, AZ 85020 | 2015-07-10 |
| Find all providers in zip 85020 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255946257 | Tatum Point Dentistry LLC | Clinic/Center | 4747 E Bell Rd Ste 15, Phoenix, AZ 85032-2301 | 2020-09-15 |
| 1003421009 | Solterra Dentistry LLC | Clinic/Center | 15255 N 40th St Ste 111, Phoenix, AZ 85032-4636 | 2020-09-15 |
| 1336751536 | Smile Nuvo | Clinic/Center | 2142 W Red Fox Rd, Phoenix, AZ 85085-5458 | 2020-08-19 |
| 1942821301 | Family and Kids Dental LLC | Clinic/Center | 2610 W Baseline Rd Ste 120, Phoenix, AZ 85041-6400 | 2020-04-27 |
| 1003458688 | Uptown Pediatric Dental Group, Pllc | Clinic/Center | 1515 E Missouri Ave Ste 103, Phoenix, AZ 85014-2443 | 2019-10-15 |
| 1538720818 | Scott A. Simpson Dds Pllc | Clinic/Center | 14231 N 7th St Ste A14231n7, Phoenix, AZ 85022-4360 | 2019-06-26 |
| 1992362891 | Lemon Tree Dentistry LLC | Clinic/Center | 1985 W Happy Valley Rd Ste 115, Phoenix, AZ 85085-2888 | 2019-05-26 |
| 1457813768 | Singh Smile Care | Clinic/Center | 3201 W Peoria Ave Ste A103, Phoenix, AZ 85029-4609 | 2019-04-04 |
| 1710447370 | Minted Dental | Clinic/Center | 21050 N Tatum Blvd Ste 200, Phoenix, AZ 85050-4262 | 2019-03-20 |
| 1679032197 | Denkha Dentistry, LLC | Clinic/Center | 1601 E Bell Rd Ste A13, Phoenix, AZ 85022-6254 | 2019-03-14 |
| Find all providers in PHOENIX | ||||
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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.