PEPSQUAD PLLC
NPI 1487228961
Dentist in Mesa, AZ

Q: What is Pepsquad PLLC's NPI number?

The NPI number for Pepsquad PLLC is 1487228961. It was assigned to this organization in the NPPES registry on May 18, 2021.

Q: What is Pepsquad PLLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Pepsquad PLLC was last updated on May 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 18, 2021

5215 E SOUTHERN AVE, MESA, AZ 85206(509) 823-4480(509) 823-4490 Get Directions Write a Review

NPPES record last updated: May 18, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Pepsquad Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEPSQUAD PLLC (NPI 1487228961) is a healthcare organization registered as a dentist in Mesa, Arizona and active in the NPI registry since May 2021. The organization lists Derek Thompson, Owner, as its authorized official.

NPPES Registry Identity

NPI1487228961

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NamePEPSQUAD PLLC

Location Address5215 E SOUTHERN AVEMesa, AZ 85206-2777

Mailing Address4309 W Nob Hill BlvdYakima, WA 98908-3971

Phone(509) 823-4480

Fax(509) 823-4490

Organization SubpartNo

Authorized OfficialDerek ThompsonOwner · (509) 823-4480

Enumeration DateMay 18, 2021

NPPES CertifiedMay 18, 2021

✔ NPI 1487228961 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X

Also ListedDentist · Orthodontics and Dentofacial OrthopedicsTaxonomy 1223X0400X

Also ListedDenturistTaxonomy 122400000X

5215 E SOUTHERN AVE, Mesa, AZ 85206

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include DentaQuest Insurance Company, Inc..Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MY PEDIATRIC DENTIST PLLC

Dentist (Pediatric Dentistry)

5215 E SOUTHERN AVE
MESA, AZ 85206

Maricopa County (480) 833-2232

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pepsquad PLLC's NPI number?

The NPI number for Pepsquad PLLC is 1487228961. It was assigned to this organization in the NPPES registry on May 18, 2021.

Where is Pepsquad PLLC located?

Pepsquad PLLC is located at 5215 E Southern Ave, Mesa, AZ 85206. The listed phone number is (509) 823-4480.

What is Pepsquad PLLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Pepsquad PLLC accept?

Health plans from DentaQuest Insurance Company, Inc. list Pepsquad PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pepsquad PLLC was last updated on May 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.