Heritage Technologies, LLC
NPI 1093764938 · Family Medicine Physician · Mesa, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Heritage Technologies, LLC is a Family Medicine Physician organization in Mesa, AZ (NPI 1093764938).
Provider details
- NPI number
- 1093764938
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michelle Dinsdale, Executive Director(480) 834-7546
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
6 documented practice locations
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
Mailing address
Other names (DBA / former)
- Doing business as
- Desert Grove Family Medical
Additional practice locations (5)
- 5656 S Power Rd Ste 126Gilbert, AZ 85295-8489Phone: (480) 834-7546Fax: (480) 833-8313
- 10238 E Hampton Ave Ste 506Mesa, AZ 85209-3321Phone: (480) 834-7546Fax: (480) 833-8313
- 10238 E Hampton Ave Ste 508Mesa, AZ 85209-3321Phone: (480) 834-7546
- 20928 E Heritage Loop Rd Ste 106Queen Creek, AZ 85142-3900Phone: (480) 834-7546Fax: (480) 833-8313
- 1492 S Mill Ave Ste 101Tempe, AZ 85281-5660Phone: (480) 834-7546Fax: (480) 833-8313
Registry dates
- Enumerated
- 2006-05-09
- Last updated
- 2024-11-26
- Certified
- 2024-11-26
Frequently asked questions
- What is Heritage Technologies, LLC's NPI number?
- Heritage Technologies, LLC's National Provider Identifier (NPI) is 1093764938, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Heritage Technologies, LLC?
- Heritage Technologies, LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Heritage Technologies, LLC located?
- Heritage Technologies, LLC's practice location on file with NPPES is 1855 N Stapley Dr, Mesa, AZ 85203-3002.
- What is Heritage Technologies, LLC's phone number?
- The practice phone number listed in the NPPES registry for Heritage Technologies, LLC is (480) 834-7546.
- Does Heritage Technologies, LLC accept Medicare?
- Heritage Technologies, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Heritage Technologies, LLC?
- The authorized official listed on Heritage Technologies, LLC's NPPES record is Michelle Dinsdale, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Heritage Technologies, LLC's NPI active?
- Yes — Heritage Technologies, LLC's NPI (1093764938) is active in the NPPES registry as of the last update on 2024-11-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.