BANNER HEALTH CLINIC
NPI 1750641403
Clinic/Center in Mesa, AZ

Q: What is Banner Health Clinic's NPI number?

The NPI number for Banner Health Clinic is 1750641403. It was assigned to this organization in the NPPES registry on May 29, 2012.

Q: What is Banner Health Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since May 29, 2012

1432 S DOBSON RD STE 402, MESA, AZ 85202(480) 412-5550 Get Directions Write a Review

NPPES record last updated: December 28, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Banner Health Clinic NPPES

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

BANNER HEALTH CLINIC (NPI 1750641403) is a healthcare organization registered as a clinic/center in Mesa, Arizona and active in the NPI registry since May 2012. The organization lists Dennis Laraway, Cfo, as its authorized official.

NPPES Registry Identity

NPI1750641403

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameBANNER HEALTH CLINIC

Location Address1432 S DOBSON RD STE 402Mesa, AZ 85202-4777

Mailing Address2901 N Central Ave Ste 160Phoenix, AZ 85012-2702

Phone(480) 412-5550

Organization SubpartNo

Authorized OfficialDennis LarawayCfo · (602) 747-4000

Enumeration DateMay 29, 2012

Last NPPES UpdateDecember 28, 2021

NPPES CertifiedDecember 28, 2021

✔ NPI 1750641403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

1432 S DOBSON RD STE 402, Mesa, AZ 85202

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Other Providers at the Same Location NPPES 2

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

ANA M DOMINGUEZ RD

Dietitian, Registered (Nutrition, Pediatric Critical Care)

1432 S DOBSON RD STE 402
MESA, AZ 85202

Maricopa County (480) 412-5550

GRAHAM C. SAWICKI DNP, FNP-BC, RN

Nurse Practitioner (Family)

1432 S DOBSON RD STE 402
MESA, AZ 85202

Maricopa County (480) 412-5550

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 Banner Health Clinic's NPI number?

The NPI number for Banner Health Clinic is 1750641403. It was assigned to this organization in the NPPES registry on May 29, 2012.

Where is Banner Health Clinic located?

Banner Health Clinic is located at 1432 S Dobson Rd Ste 402, Mesa, AZ 85202. The listed phone number is (480) 412-5550.

What is Banner Health Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Banner Health Clinic was last updated on December 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.