OrganizationActive
Pepsquad PLLC
NPI 1487228961 · Dentist · Mesa, AZ
Pepsquad PLLC is a Dentist organization in Mesa, AZ (NPI 1487228961).
Provider details
- NPI number
- 1487228961
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Derek Thompson, Owner(509) 823-4480
Specialties & taxonomies
Dental Providers
- Oral and Maxillofacial Surgery (Dentist)1223S0112X
Dental Providers
Dental Providers
- Denturist122400000X
Dental Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
5215 E Southern Ave
Mesa, AZ 85206-2777
Phone: (509) 823-4480
Fax: (509) 823-4490
Street-level locationGet directions
Mailing address
4309 W Nob Hill Blvd
Yakima, WA 98908-3971
Registry dates
- Enumerated
- 2021-05-18
- Last updated
- 2021-05-18
- Certified
- 2021-05-18
Frequently asked questions
- What is Pepsquad PLLC's NPI number?
- Pepsquad PLLC's National Provider Identifier (NPI) is 1487228961, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pepsquad PLLC?
- Pepsquad PLLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Pepsquad PLLC located?
- Pepsquad PLLC's practice location on file with NPPES is 5215 E Southern Ave, Mesa, AZ 85206-2777.
- What is Pepsquad PLLC's phone number?
- The practice phone number listed in the NPPES registry for Pepsquad PLLC is (509) 823-4480.
- Who is the authorized official for Pepsquad PLLC?
- The authorized official listed on Pepsquad PLLC's NPPES record is Derek Thompson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pepsquad PLLC's NPI active?
- Yes — Pepsquad PLLC's NPI (1487228961) is active in the NPPES registry as of the last update on 2021-05-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.