LARISA R SMITH (NPI# 1760884001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760884001 |
| Entity Type | Individual |
| Full Name | LARISA R SMITH |
| Credential | D.M.D. |
| Practice Address |
1705 W Main St Mesa AZ 85201-6920 |
| Mailing Address |
633 W Naranja Ave Mesa AZ 85210-7437 |
| Practice Telephone | 4802477303 |
| Mailing Telephone | 8053121789 |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2014-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D009078 | AZ | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124405212 | Larisa Smith | Home Health | 3a Valley Forge Ct, Ridge, NY 11961-2529 | 2015-04-28 |
| Street Address |
1705 W MAIN ST |
| City | MESA |
| State | AZ |
| Zip Code | 85201-6920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891781027 | Martin Catero | Family Medicine | 1705 W Main St, Mesa, AZ 85201-6920 | 2005-09-22 |
| 1417573577 | Carlos A Briseno | Dental Hygienist | 1705 W Main St, Mesa, AZ 85201-6920 | 2020-06-24 |
| 1013476571 | Adelante Healthcare, Inc | Community/Behavioral Health | 1705 W Main St, Mesa, AZ 85201-6920 | 2019-03-14 |
| 1356851489 | Jean Marie Brady | Dental Hygienist | 1705 W Main St, Mesa, AZ 85201-6920 | 2017-10-03 |
| 1740635721 | Andrew John Chin | Internal Medicine | 1705 W Main St, Mesa, AZ 85201-6920 | 2016-04-27 |
| 1295190304 | Sara Douglas | Nurse Practitioner | 1705 W Main St, Mesa, AZ 85201-6920 | 2015-12-17 |
| 1326421108 | Zoe Alyssa Cappe | Family Medicine | 1705 W Main St, Mesa, AZ 85201-6920 | 2015-06-30 |
| 1720467418 | Sung E Cho | Nurse Practitioner | 1705 W Main St, Mesa, AZ 85201-6920 | 2015-05-27 |
| 1700264082 | Michael B. Bayless & Associates, Inc | Community/Behavioral Health | 1705 W Main St, Mesa, AZ 85201-6920 | 2015-05-07 |
| 1144643040 | Gina Reyes | Psychologist | 1705 W Main St, Mesa, AZ 85201-6920 | 2014-01-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174141980 | Arch Hospice, LLC. | Hospice Care, Community Based | 1209 N. Country Club Dr., Ste. 1, Mesa, AZ 85201 | 2020-07-08 |
| 1861025876 | Summit Bhc Mesa LLC | Clinic/Center | 846 North Center Street Suite 101, Mesa, AZ 85201 | 2020-02-18 |
| 1427600774 | Coleen Chatter | Counselor | 711 N. Evergreenrd. Apt#2088, Mesa, AZ 85201 | 2019-07-16 |
| 1013487800 | Akos Live | Family Medicine | 1902 W. Main Street, Mesa, AZ 85201 | 2018-12-05 |
| 1760990329 | Sage Counseling, Inc. | Community/Behavioral Health | 460 N. Mesa Drive, Suites 207 and 209, Mesa, AZ 85201 | 2018-01-17 |
| 1336590025 | Horizon Health and Wellness, Inc. | Assisted Living Facility | 453 West Sunset Circle, Mesa, AZ 85201 | 2016-06-24 |
| 1356711279 | Cheryl Agosto | Registered Nurse | 1025 N. Country Club Dr, Mesa, AZ 85201 | 2015-10-05 |
| 1861877961 | Richard Roble | Speech-Language Pathologist | 125 N. Country Club Dr., Mesa, AZ 85201 | 2015-07-30 |
| 1326440991 | Demetria Harris | Counselor | 455 N. Mesa Drive #11, Mesa, AZ 85201 | 2014-09-25 |
| 1588002489 | Zhen Liu | Acupuncturist | 210n. Center St, #102, Mesa, AZ 85201 | 2013-06-13 |
| Find all providers in zip 85201 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174149157 | Jordan Sunderhaus | Dentist | 1244 N Greenfield Rd Ste 103, Mesa, AZ 85205-4078 | 2020-06-25 |
| 1821613134 | Russell D York | Dentist | 1928 E Main St, Mesa, AZ 85203-9024 | 2020-06-11 |
| 1588200265 | Signal Butte Kids Dentistry and Orthodontics, LLP | Dentist | 10664 E. Point Twenty Two Blvd, Mesa, AZ 85212 | 2019-11-18 |
| 1184268310 | Ocotillo Sleep Solutions LLC | Dentist | 2150 S Dobson Rd Ste 3, Mesa, AZ 85202-6487 | 2019-10-31 |
| 1457906919 | Yana V Gerhardt | Dentist | 1822 S 39th St Unit 35, Mesa, AZ 85206-3828 | 2019-08-01 |
| 1538725387 | Dentists of Mesa, LLP | Dentist | 4401 E Mckellips Rd Ste 102, Mesa, AZ 85215-2558 | 2019-05-17 |
| 1417413063 | Peter Vu | Dentist | 5350 E Hilton Ave, Mesa, AZ 85206-5514 | 2019-02-19 |
| 1235604166 | Implant & Reconstructive Dentistry Pllc | Dentist | 1423 S Higley Rd Ste 117, Mesa, AZ 85206-3450 | 2018-10-07 |
| 1316423353 | Amberwood Dental Partners | Dentist | 840 E Mckellips Rd Ste 101, Mesa, AZ 85203-9654 | 2018-07-12 |
| 1386153823 | Angela S Wilson | Dentist | 1245 E Southern Ave Ste 12, Mesa, AZ 85204-5138 | 2017-09-27 |
| 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.