NPIMap

Organization Active NPI

Healthy Kids Kampus, PC

  • Pediatric Dentistry
  • Tucson, AZ
National Provider Identifier
1043606171
Registry record updated Apr 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
HEALTHY KIDS KAMPUS, PC
Practice address
910 W Irvington Rd
Suite 170a
Tucson, AZ 85714-2458
Phone
(520) 975-4927
NPI assigned
Apr 15, 2015
Last updated
Apr 15, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2015

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

Authorized official

Name
Dr. Anthony Charles Caputo, DDS, MANPI 1770739781
Title
Director
Phone
(520) 975-4927

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

910 W Irvington Rd
Suite 170a
Tucson, AZ 85714-2458

Mailing address

4723 E Camp Lowell Dr
Tucson, AZ 85712-1256
Phone (520) 975-4927

National Provider Directory

National Provider Directory

Locations

4723 E Camp Lowell Dr
Tucson, AZ 85712
Phone (520) 571-7951

910 W Irvington Rd
Ste 170A
Tucson, AZ 85714
Phone (520) 975-4927

Practitioners & affiliated clinicians

Practitioners 3

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": "1429056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429056000000",
    "number": "1043606171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4723 E CAMP LOWELL DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857121256",
            "telephone_number": "520-975-4927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 W IRVINGTON RD",
            "address_2": "SUITE 170A",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857142458",
            "telephone_number": "520-975-4927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY KIDS KAMPUS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-15",
        "last_updated": "2015-04-15",
        "status": "A",
        "authorized_official_last_name": "CAPUTO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "520-975-4927",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MA"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2015; 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.