DR. JONATHAN LANE SANDERS (NPI# 1720692502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720692502 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN LANE SANDERS |
| Credential | DMD |
| Practice Address |
1801 E Southern Ave Mesa AZ 85204-5258 |
| Mailing Address |
2716 E Fairfield Cir Mesa AZ 85213-5300 |
| Practice Telephone | 4808929000 |
| Mailing Telephone | 4804045909 |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2020-08-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D010810 | AZ | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376766873 | Jonathan Scully Sanders | Social Worker | 5209 Danbury Rd, Bethesda, MD 20814-2868 | 2007-04-11 |
| 1649733247 | Jonathan Sanders | Counselor | 1957 Hoover Ct, Hoover, AL 35226-3622 | 2019-04-10 |
| 1922479880 | Jonathan Lemar Sanders | Counselor | 200 E State St Fl 3, Alliance, OH 44601 | 2015-10-16 |
| 1255743803 | Jonathan Carl Sanders | Student in an Organized Health Care Education/Training Program | 462 1st Ave, New York, NY 10016-9196 | 2014-05-29 |
| 1063691574 | Jonathan Allen Sanders | Emergency Medicine | 533 Bolivar St, Rm 508, New Orleans, LA 70112-1349 | 2007-10-31 |
| 1881754125 | Jonathan Dewitt Sanders | Physical Therapist | 150 N Rosenberger Ave, Evansville, IN 47712-6503 | 2006-12-09 |
| 1265480305 | Jonathan Sanders | Dermatology | 1155 35th Ln, Suite 202, Vero Beach, FL 32960-6521 | 2006-05-04 |
| Street Address |
1801 E SOUTHERN AVE |
| City | MESA |
| State | AZ |
| Zip Code | 85204-5258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790886281 | Wpf Holdings LLC | Dentist | 1801 E Southern Ave, Suite 101, Mesa, AZ 85204-5258 | 2006-09-26 |
| 1639370745 | Elwynn Chad Caffall | Dentist | 1801 E Southern Ave, Suite 101, Mesa, AZ 85204-5258 | 2007-05-29 |
| 1023102183 | 1801 Southern Vista Dental Care | Dentist | 1801 E Southern Ave, Suite 103, Mesa, AZ 85204-5258 | 2006-10-03 |
| 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 | 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.