OCOTILLO LAKES ENDODONTICS, LLC (NPI# 1275005688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275005688 |
| Entity Type | Organization |
| Organization Name | OCOTILLO LAKES ENDODONTICS, LLC |
| Practice Address |
3200 S Alma School Rd Ste 203 Chandler AZ 85248-3773 |
| Mailing Address |
2400 W Longhorn Dr Chandler AZ 85286-6101 |
| Practice Telephone | 9144393638 |
| Mailing Telephone | 9144393638 |
| Enumeration Date | 2018-12-24 |
| Last Update Date | 2018-12-24 |
| Authorized Official Name | DR. MASOOD SIRJANI (ENDODONTIST, OWNER) |
| Authorized Official Telephone | 9144393638 |
| Authorized Official Credential | DDS, PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers |
| Street Address |
3200 S ALMA SCHOOL RD STE 203 |
| City | CHANDLER |
| State | AZ |
| Zip Code | 85248-3773 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063019669 | Sona Dds PC | Dentist | 10450 E. Riggs Rd. #118, Chandler, AZ 85248 | 2020-10-06 |
| 1629618962 | Danica Lynne Williams | Counselor | 3800 S. Nebraska St., Chandler, AZ 85248 | 2020-01-15 |
| 1346743473 | Kiana Tess Tahiri | Behavioral Analyst | 3952 South Waterfront Drive, Chandler, AZ 85248 | 2018-03-15 |
| 1922508076 | Kaitlyn Christine Jones | Specialist/Technologist | 3700 S Arizona Ave, Chandler, AZ 85248 | 2018-02-15 |
| 1053833038 | Moc Chandler, LLC | Skilled Nursing Facility | 3033 South Arizona Ave., Chandler, AZ 85248 | 2017-07-12 |
| 1881064145 | Sonya Kay Kooima | Nurse Practitioner | 965 W. Chandler Heights Rd., Chandler, AZ 85248 | 2015-09-30 |
| 1215313028 | Taylor Froiland | Pharmacist | 4995 S Alma School Rd Ste 4, Chandler, AZ 85248 | 2015-08-04 |
| 1518380468 | Julie Ybarra | Speech-Language Pathologist | 1500 E.chandler Heights Rd., Chandler, AZ 85248 | 2014-01-29 |
| 1710218326 | Vijay Jain | Dentist | 1445 South Arizona Ave, Suite 1, Chandler, AZ 85248 | 2010-01-21 |
| 1700113156 | Lavon Williams | Registered Nurse | 10440 E. Riggs Road, Suite 207, Chandler, AZ 85248 | 2009-11-05 |
| Find all providers in zip 85248 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952800542 | Acacia Endondontic Partners LLC | Dentist | 1300 N Mcclintock Dr Ste B2, Chandler, AZ 85226-7241 | 2018-02-08 |
| 1821280389 | Hongsa Situ | Dentist | 1200 W Warner Rd Ste 7, Chandler, AZ 85224-2758 | 2007-08-17 |
| 1699749978 | Axel Yabroudi | Dentist | 2979 W Elliot Rd Ste 3, Chandler, AZ 85224-1641 | 2006-02-14 |
| 1346773132 | Harmony Dental Partners | Dentist | 1300 N Mcclintock Dr, Suite E-12, Chandler, AZ 85226-7205 | 2017-04-07 |
| 1760678114 | Arizona Endodontics, P.C. | Dentist | 1200 W Warner Rd, Suite 7, Chandler, AZ 85224-2758 | 2007-09-19 |
| 1033304530 | Michael Grabow | Dentist | 3800 W Ray Rd, Suite 7, Chandler, AZ 85226-5940 | 2007-09-09 |
| 1881897080 | Acacia Endodontics, Pllc | Dentist | 1300 N Mcclintock Dr, Ste B2, Chandler, AZ 85226-7205 | 2007-06-06 |
| 1396967915 | Neil Thomas Miller | Dentist | 595 N Dobson Rd, B 24, Chandler, AZ 85224 | 2007-05-03 |
| 1619197019 | Shaun R Cullimore | Dentist | 1300 N Mcclintock Dr, Suite B2, Chandler, AZ 85226-7205 | 2007-04-26 |
| 1417072976 | Grabow Endodontics, P.C. | Dentist | 3800 W Ray Rd, Suite 7, Chandler, AZ 85226-5940 | 2007-03-20 |
| Find all providers in CHANDLER | ||||
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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.