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CRISMON ROAD DMSO LLC
NPI 1851815575
Clinic/Center - Dental in Mesa, AZ

Active since August 03, 2017
1157 S CRISMON RD STE 103, MESA, AZ 85208(480) 393-0687 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 21, 2022, Aug 3, 2017 (2 updates tracked since 2017).

About Crismon Road Dmso Llc NPPES

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

CRISMON ROAD DMSO LLC (NPI 1851815575) is a healthcare organization registered as a dental in Mesa, Arizona and active in the NPI registry since August 2017. The organization lists Tracy H Tran, Manager, as its authorized official.

NPPES Registry Identity

NPI1851815575
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameCRISMON ROAD DMSO LLC
Location Address1157 S CRISMON RD STE 103Mesa, AZ 85208-2661
Mailing Address1157 S Crismon Rd Ste 103Mesa, AZ 85208-2661 · (480) 393-0687
Phone(480) 393-0687
Organization SubpartNo
Authorized OfficialTracy H TranManager · (408) 234-5099
Enumeration DateAugust 3, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1851815575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
1157 S CRISMON RD STE 103, Mesa, AZ 85208
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Solstice Healthplans of Arizona, Inc., UnitedHealthcare.Insurance ›

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.

MATTHEW HENRY MCCLEMENT DMD
Dentist
1157 S CRISMON RD STE 103
MESA, AZ 85208
Maricopa County (520) 220-5266
ARIZONA DENTAL AFFILIATES, PLLC
Dentist (General Practice)
1157 S CRISMON RD STE 103
MESA, AZ 85208
Maricopa County (520) 376-8538

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 Crismon Road Dmso LLC's NPI number?

The NPI number for Crismon Road Dmso LLC is 1851815575. It was assigned to this organization in the NPPES registry on August 3, 2017.

Where is Crismon Road Dmso LLC located?

Crismon Road Dmso LLC is located at 1157 S Crismon Rd Ste 103, Mesa, AZ 85208. The listed phone number is (480) 393-0687.

What is Crismon Road Dmso LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

What insurance does Crismon Road Dmso LLC accept?

Health plans from Ambetter from Arizona Complete Health, Solstice Healthplans of Arizona, Inc. and UnitedHealthcare list Crismon Road Dmso LLC 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 Crismon Road Dmso LLC was last updated on July 21, 2022. 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.