OrganizationActive
My Pediatric Dentist PLLC
NPI 1063374593 · Pediatric Dentistry · Mesa, AZ
My Pediatric Dentist PLLC is a Pediatric Dentistry organization in Mesa, AZ (NPI 1063374593).
Provider details
- NPI number
- 1063374593
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Austin Mchenry, Partner(602) 384-7506
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
5215 E Southern Ave
Mesa, AZ 85206-2777
Phone: (480) 833-2232
Street-level locationGet directions
Mailing address
2045 S Vineyard Ste 153
Mesa, AZ 85210-6892
Registry dates
- Enumerated
- 2025-12-02
- Last updated
- 2025-12-02
- Certified
- 2025-12-02
Frequently asked questions
- What is My Pediatric Dentist PLLC's NPI number?
- My Pediatric Dentist PLLC's National Provider Identifier (NPI) is 1063374593, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is My Pediatric Dentist PLLC?
- My Pediatric Dentist PLLC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is My Pediatric Dentist PLLC located?
- My Pediatric Dentist PLLC's practice location on file with NPPES is 5215 E Southern Ave, Mesa, AZ 85206-2777.
- What is My Pediatric Dentist PLLC's phone number?
- The practice phone number listed in the NPPES registry for My Pediatric Dentist PLLC is (480) 833-2232.
- Who is the authorized official for My Pediatric Dentist PLLC?
- The authorized official listed on My Pediatric Dentist PLLC's NPPES record is Austin Mchenry, Partner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is My Pediatric Dentist PLLC's NPI active?
- Yes — My Pediatric Dentist PLLC's NPI (1063374593) is active in the NPPES registry as of the last update on 2025-12-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.