OrganizationActive
East Valley Periodontics
NPI 1063649192 · Periodontics · Mesa, AZ
East Valley Periodontics is a Periodontics organization in Mesa, AZ (NPI 1063649192).
Provider details
- NPI number
- 1063649192
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Penny Mckinney, Office Manager(480) 218-7590
- License
- 7751 (AZ)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
6755 E Superstition Springs Blvd
Ste. 102
Mesa, AZ 85206-4373
Phone: (480) 218-7590
Fax: (480) 218-2247
Street-level locationGet directions
Mailing address
6755 E Superstition Springs Blvd
Mesa, AZ 85206-4373
Registry dates
- Enumerated
- 2009-06-16
- Last updated
- 2009-06-16
Frequently asked questions
- What is East Valley Periodontics's NPI number?
- East Valley Periodontics's National Provider Identifier (NPI) is 1063649192, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is East Valley Periodontics?
- East Valley Periodontics is classified in the NPPES registry as Periodontics (Dental Providers).
- Where is East Valley Periodontics located?
- East Valley Periodontics's practice location on file with NPPES is 6755 E Superstition Springs Blvd, Mesa, AZ 85206-4373.
- What is East Valley Periodontics's phone number?
- The practice phone number listed in the NPPES registry for East Valley Periodontics is (480) 218-7590.
- Who is the authorized official for East Valley Periodontics?
- The authorized official listed on East Valley Periodontics's NPPES record is Penny Mckinney, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is East Valley Periodontics's NPI active?
- Yes — East Valley Periodontics's NPI (1063649192) is active in the NPPES registry as of the last update on 2009-06-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.