Littlegrins , P.L.L.C

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

4390 Issued in AZ

Legal business name

LITTLEGRINS , P.L.L.C

Practice address

2179 W 24TH St Ste B
Yuma, AZ 85364-6163

Phone

(928) 782-4708

Fax

(928) 782-2212

NPI assigned

Jul 3, 2012

Organization subpart

No

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

Authorized official

Name

Joseph Drew Gallemore, D.D.S

Title

Owner

Phone

(928) 782-4708

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Little Grins2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Little Grins

  • Dentist
  • Yuma, AZ
  • NPI 1598095523
  NPD tax ID

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

{
    "created_epoch": "1341273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341273600000",
    "number": "1033473103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2179 W 24TH ST STE B",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646163",
            "telephone_number": "928-782-4708",
            "fax_number": "928-782-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2179 W 24TH ST STE B",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646163",
            "telephone_number": "928-782-4708",
            "fax_number": "928-782-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLEGRINS , P.L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-03",
        "last_updated": "2012-07-03",
        "status": "A",
        "authorized_official_last_name": "GALLEMORE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "DREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-782-4708",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AZ",
            "license": "4390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155269002",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy Alan Litofe, M.D.
• Little Grins
• Barbara Elizabeth Little, NPC
• Kristin Ann Little, RN
• Leigha Davis Little, O.D.
• Romariz Lizardo, OTR/L
• Kelley Lynn Lizarraga, MD
• Martha Llamas, LMSW
• Martin A Loaiza, LISAC
• Christopher Tin-Shu Loh, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2012; 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.