NPIMap

Organization Active NPI

Highbury Dental Management, LLC

Doing business as Ironwood Children's Dentistry and Orthodontics

  • General Practice Dentistry
  • Queen Creek, AZ
National Provider Identifier
1033675400
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
HIGHBURY DENTAL MANAGEMENT, LLC
Doing business as
Ironwood Children's Dentistry and Orthodontics
Practice address
40930 N Ironwood Dr Ste 113
Queen Creek, AZ 85140-8829
Phone
(480) 999-9091
Fax
(480) 718-7341
NPI assigned
Feb 11, 2019
Last updated
Feb 13, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
HIGHBURY DENTAL MANAGEMENT, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

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

Authorized official

Name
Kushboo Kumar
Title
Access Manager
Phone
(916) 877-7450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

40930 N Ironwood Dr Ste 113
Queen Creek, AZ 85140-8829

Mailing address

1740 Creekside Oaks Dr Ste 130
Sacramento, CA 95833-3655
Phone (916) 877-7450

Other names 1

  • Ironwood Children's Dentistry and Orthodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Highbury Dental Management LLC6 organizations share this tax ID, including this one
Part of
Highbury Dental Management LLC

Other organizations with this tax ID 5

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

Locations

2218 E Williams Field Rd
Ste 260
Gilbert, AZ 85295

40930 N Ironwood Dr
Ste 113
Queen Creek, AZ 85140
Phone (480) 999-9091

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1549843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770940800000",
    "number": "1033675400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 CREEKSIDE OAKS DR STE 130",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958333655",
            "telephone_number": "916-877-7450",
            "fax_number": "844-534-8464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40930 N IRONWOOD DR STE 113",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851408829",
            "telephone_number": "480-999-9091",
            "fax_number": "480-718-7341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHBURY DENTAL MANAGEMENT, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HIGHBURY DENTAL MANAGEMENT, LLC",
        "enumeration_date": "2019-02-11",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "KUSHBOO",
        "authorized_official_title_or_position": "ACCESS MANAGER",
        "authorized_official_telephone_number": "916-877-7450"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ironwood Children's Dentistry and Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Queen Creek, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; 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.