RED MOUNTAIN ENDODONTICS (NPI# 1790928018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790928018 |
| Entity Type | Organization |
| Organization Name | RED MOUNTAIN ENDODONTICS |
| Practice Address |
1056 S Val Vista Dr Ste 3 Mesa AZ 85204-5671 |
| Practice Telephone | 4803966100 |
| Practice Fax Number | 4803967476 |
| Mailing Telephone | 4803966100 |
| Mailing Fax Number | 4803967476 |
| Enumeration Date | 2009-04-16 |
| Last Update Date | 2009-04-16 |
| Authorized Official Name | DR. STEVEN L. FROST (OWNER) |
| Authorized Official Telephone | 4803966100 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972787471 | Red Mountain Endodontics | Dentist | 1056 S Val Vista Dr, Suite #3, Mesa, AZ 85204-5667 | 2007-12-20 |
| Street Address |
1056 S VAL VISTA DR STE 3 |
| City | MESA |
| State | AZ |
| Zip Code | 85204-5671 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255493151 | James D. Hamberlin | Dentist | 1056 S Val Vista Dr Ste 3, Mesa, AZ 85204-5671 | 2006-12-15 |
| 1033271945 | Steven L. Frost | Dentist | 1056 S Val Vista Dr Ste 3, Mesa, AZ 85204-5671 | 2006-12-15 |
| 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 | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396354205 | Freedom Dental, Pllc | Clinic/Center | 6328 E Brown Rd Ste 105, Mesa, AZ 85205-4841 | 2020-07-27 |
| 1972061364 | Dr Lorin Eric Jackrel, Dmd, PC | Clinic/Center | 2150 S Dobson Rd Ste 2, Mesa, AZ 85202-6487 | 2019-03-05 |
| 1366906190 | Bella Via Dental, Pllc | Clinic/Center | 4425 S Mountain Rd Ste 106, Mesa, AZ 85212-7132 | 2019-01-25 |
| 1497271068 | Mesa Dental Pllc | Clinic/Center | 1423 S Higley Rd Ste 101, Mesa, AZ 85206-3449 | 2017-08-16 |
| 1851815575 | Crismon Road Dmso LLC | Clinic/Center | 1157 S Crismon Rd Ste 103, Mesa, AZ 85208-2661 | 2017-08-03 |
| 1386847218 | Arizona Dental Health, Inc. | Clinic/Center | 2500 S. Power Rd. Ste. 105, Mesa, AZ 85209 | 2007-06-07 |
| 1821607342 | Central Valley Dental Care LLC | Clinic/Center | 5440 E Southern Ave Ste 107, Mesa, AZ 85206-2779 | 2020-07-30 |
| 1497379564 | Denver J. Palmer, D.m.d., P.C. | Clinic/Center | 6852 E Brown Rd, Mesa, AZ 85207-3706 | 2020-06-03 |
| 1386278679 | Advanced Dental Prosthetics | Clinic/Center | 107 N Greenfield Rd Ste 1, Mesa, AZ 85205-7802 | 2020-02-26 |
| 1447898481 | Ge Dental Pllc | Clinic/Center | 944 N Gilbert Rd Ste 104, Mesa, AZ 85203-5836 | 2019-12-19 |
| 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.