DESERT MOUNTAIN ENDODONTICS NPI 1609284801

NPI Information

  • NPI: 1609284801
  • Provider Name: DESERT MOUNTAIN ENDODONTICS
  • Classification: Exclusive Provider Organization - 302F00000X
  • Entity Type: Organization
  • Address: 20542 N LAKE PLEASANT RD
    #113
    PEORIA, AZ
    ZIP 85382
  • Phone: (623) 594-2888

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NPI Details

DESERT MOUNTAIN ENDODONTICS is an exclusive provider organization in Peoria, AZ. The provider is (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. DESERT MOUNTAIN ENDODONTICS NPI is 1609284801. The provider is registered as an organization entity type.

The provider's business location address is:

20542 N LAKE PLEASANT RD
#113
PEORIA, AZ
ZIP 85382-749
Phone: (623) 594-2888
Fax: (623) 328-9474

The provider's authorized official is Jack Casale .
The authorized official title is President and has the following contact phone number (623) 594-2888.

The enumeration date for this NPI number is 7/31/2014 and was last updated on 7/31/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1302F00000XExclusive Provider Organization8110ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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