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Deactivated NPI 1548838303 Deactivated / Inactive NPI Male Practitioner

Dr. John Cismas , DMD

Dentist • Mesa, AZ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. John Cismas has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 16, 2021
NPI Deactivation Date November 13, 2024
Total Practice Duration ~3 Years of Practice (2021 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. John Cismas, DMD was a registered Dentist practicing in Mesa, AZ. Throughout an active medical career spanning 3 years, Dr. Cismas provided care at the practice location at 855 E BROWN RD STE 4 until profile deactivation on 2024-11-13.

Practice Location & Contact Primary Location

Practice Address

855 E Brown Rd Ste 4

Mesa, AZ 852034958

Telephone 8083461004
Associated Practice Facility / Clinic
🏢 Taylor & Woolf, P.a. Facility NPI 1598983405

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Mesa, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.0 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
178 Specialists

Practicing in Mesa, AZ (1999 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-11-18
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License AZ D011061

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1508306762

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
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NPI Profile Reactivated November 18, 2024

Record officially reactivated for active practice on November 18, 2024

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Updated Practice Location November 18, 2024

Registered at 855 E BROWN RD STE 4, MESA, AZ 852034958 (Tel: 8083461004)

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Updated Business Mailing Address November 18, 2024

Registered at 855 E BROWN RD STE 4, MESA, AZ 852034958 (Tel: 4808346100)

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 18, 2024

Dentist (License #D011061 in AZ)

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NPI Profile Deactivated November 13, 2024

Record deactivated on November 13, 2024

NPI Profile Active June 16, 2021

NPI status registered as active in NPPES database

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Updated Practice Location June 16, 2021

Registered at 900 E FLORENCE BLVD STE D, CASA GRANDE, AZ 851224673 (Tel: 5208365468)

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Updated Business Mailing Address June 16, 2021

Registered at 900 E FLORENCE BLVD STE D, CASA GRANDE, AZ 851224673 (Tel: 5208365468)

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Provider Name / Credentials Updated June 16, 2021

Recorded as JOHN CISMAS, DMD

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 16, 2021

Dentist (License #D011061 in AZ)

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Initial NPI Registration & Enumeration June 16, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1548838303
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 16, 2021
Last Update: November 18, 2024
Deactivation Date: November 13, 2024
Sole Proprietor: Yes

Mailing Address

855 E Brown Rd Ste 4

Mesa, AZ 852034958

Phone: 4808346100

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.