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BLACK MOUNTAIN ENDODONTICS
NPI 1538829973
Dentist - Endodontics in Peoria, AZ

Active since December 27, 2021
21755 N 77TH AVE STE 1210, PEORIA, AZ 85382(623) 248-0899(623) 248-9951 Get Directions Write a Review

NPPES record last updated: September 27, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 27, 2022, Dec 27, 2021 (2 updates tracked since 2021).

About Black Mountain Endodontics NPPES

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

BLACK MOUNTAIN ENDODONTICS (NPI 1538829973) is a healthcare organization registered as an endodontics in Peoria, Arizona and active in the NPI registry since December 2021. The organization lists Cody Heslington, Owner/endodontist, as its authorized official.

NPPES Registry Identity

NPI1538829973
Entity TypeOrganization
Primary Taxonomy1223E0200X
Legal Business NameBLACK MOUNTAIN ENDODONTICS
Location Address21755 N 77TH AVE STE 1210Peoria, AZ 85382-2112
Mailing Address21755 N 77th Ave Ste 1210Peoria, AZ 85382-2112 · (623) 248-0899 · Fax (623) 248-9951
Phone(623) 248-0899
Fax(623) 248-9951
Organization SubpartNo
Authorized OfficialCody HeslingtonOwner/endodontist · (801) 318-5264
Enumeration DateDecember 27, 2021
Last NPPES UpdateSeptember 27, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2022
✔ NPI 1538829973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
Definition

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

21755 N 77TH AVE STE 1210, Peoria, AZ 85382
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. CODY HESLINGTON DMD
Dentist (Endodontics)
21755 N 77TH AVE STE 1210
PEORIA, AZ 85382
Maricopa County (623) 248-0899

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 Black Mountain Endodontics's NPI number?

The NPI number for Black Mountain Endodontics is 1538829973. It was assigned to this organization in the NPPES registry on December 27, 2021.

Where is Black Mountain Endodontics located?

Black Mountain Endodontics is located at 21755 N 77th Ave Ste 1210, Peoria, AZ 85382. The listed phone number is (623) 248-0899.

What is Black Mountain Endodontics's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

When was this NPI record last updated?

The NPPES record for Black Mountain Endodontics was last updated on September 27, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.