OrganizationActive
Banner Desert Medical Center
NPI 1174660435 · Prosthetic/Orthotic Supplier · Mesa, AZ
Banner Desert Medical Center is a Prosthetic/Orthotic Supplier organization in Mesa, AZ (NPI 1174660435).
Provider details
- NPI number
- 1174660435
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Parent organization
- Banner Health
- Organization subpart
- Yes
- Authorized official
- Dennis Laraway, Cfo(602) 747-4000
Specialties & taxonomies
Suppliers
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
1400 S Dobson Rd
Oncology Gift Shop, Room 1053
Mesa, AZ 85202-4707
Phone: (480) 412-5959
Street-level locationGet directions
Mailing address
2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702
Other names (DBA / former)
- Doing business as
- Jewels Garden Oncology Boutique
- Doing business as
- Jewels Garden Oncology Boutique
Registry dates
- Enumerated
- 2007-01-30
- Last updated
- 2021-12-23
- Certified
- 2021-12-23
Frequently asked questions
- What is Banner Desert Medical Center's NPI number?
- Banner Desert Medical Center's National Provider Identifier (NPI) is 1174660435, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Banner Desert Medical Center?
- Banner Desert Medical Center is classified in the NPPES registry as Prosthetic/Orthotic Supplier (Suppliers).
- Where is Banner Desert Medical Center located?
- Banner Desert Medical Center's practice location on file with NPPES is 1400 S Dobson Rd, Mesa, AZ 85202-4707.
- What is Banner Desert Medical Center's phone number?
- The practice phone number listed in the NPPES registry for Banner Desert Medical Center is (480) 412-5959.
- Who is the authorized official for Banner Desert Medical Center?
- The authorized official listed on Banner Desert Medical Center's NPPES record is Dennis Laraway, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Banner Desert Medical Center's NPI active?
- Yes — Banner Desert Medical Center's NPI (1174660435) is active in the NPPES registry as of the last update on 2021-12-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.