OrganizationActive
1801 Southern Vista Dental Care
NPI 1023102183 · Dentist · Mesa, AZ
1801 Southern Vista Dental Care is a Dentist organization in Mesa, AZ (NPI 1023102183).
Provider details
- NPI number
- 1023102183
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Elwynn Caffall, Direct Owner(480) 892-9000
- License
- 6283 (AZ)
Specialties & taxonomies
Dental Providers
Dental Providers
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1801 E Southern Ave
Suite 103
Mesa, AZ 85204-5258
Phone: (480) 892-9000
Fax: (480) 926-0545
Street-level locationGet directions
Mailing address
1801 E Southern Ave
Mesa, AZ 85204-5258
Other names (DBA / former)
- Doing business as
- Southern Vista Dental Care
Registry dates
- Enumerated
- 2006-10-03
- Last updated
- 2020-08-22
Frequently asked questions
- What is 1801 Southern Vista Dental Care's NPI number?
- 1801 Southern Vista Dental Care's National Provider Identifier (NPI) is 1023102183, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 1801 Southern Vista Dental Care?
- 1801 Southern Vista Dental Care is classified in the NPPES registry as Dentist (Dental Providers).
- Where is 1801 Southern Vista Dental Care located?
- 1801 Southern Vista Dental Care's practice location on file with NPPES is 1801 E Southern Ave, Mesa, AZ 85204-5258.
- What is 1801 Southern Vista Dental Care's phone number?
- The practice phone number listed in the NPPES registry for 1801 Southern Vista Dental Care is (480) 892-9000.
- Who is the authorized official for 1801 Southern Vista Dental Care?
- The authorized official listed on 1801 Southern Vista Dental Care's NPPES record is Elwynn Caffall, Direct Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 1801 Southern Vista Dental Care's NPI active?
- Yes — 1801 Southern Vista Dental Care's NPI (1023102183) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.