Children's Dental Specialty Group LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

D8006 Issued in AZ

Legal business name

CHILDREN'S DENTAL SPECIALTY GROUP LLC

Practice address

7600 E Camelback Rd
Suite 8
Scottsdale, AZ 85251-2106

Phone

(480) 282-6746

Fax

(602) 610-4737

NPI assigned

Jul 27, 2014

Last updated

Nov 22, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Veronica M Martinez, DDSNPI 1508984170

Title

Owner/Doctor

Phone

(480) 282-6746

Specialties & licenses 2

Addresses

Other identifiers 2

Electronic endpoints 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Veronica M Martinez, DDS

  • Pediatric Dentistry
  • Scottsdale, AZ
  • NPI 1508984170
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1406419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669075200000",
    "number": "1003224619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 E CAMELBACK RD",
            "address_2": "SUITE 8",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852512106",
            "telephone_number": "480-282-6746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 E CAMELBACK RD",
            "address_2": "SUITE 8",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852512106",
            "telephone_number": "480-282-6746",
            "fax_number": "602-610-4737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S DENTAL SPECIALTY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-27",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-21",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "480-282-6746",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AZ",
            "license": "D8006",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AZ",
            "license": "D008464",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "719559",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "533913",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@childrensdental.com",
            "affiliation": "N",
            "address_1": "7600 E Camelback Rd",
            "address_2": "Suite 8",
            "city": "Scottsdale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852512106",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@childrensdental.com",
            "affiliation": "N",
            "address_1": "7600 E Camelback Rd",
            "address_2": "Suite 8",
            "city": "Scottsdale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852512106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Faith Amber Shawn Chidester, RBT
• Rochelle A Chiffelle, N.P.
• Stephen Harry Chigas
• Diane E. Childers-Watson, P.A.
• Shelly Marie Childers, D.C.
• Lauren Childress, NP
• Raymond David Childs, FNP
• Jared Chin, DPT
• Ashish V Chintakuntlawar, MD, PHD
• Angelo Chirban, M.D.

• Pediatric Dentistry in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Pediatric Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.