Organization Active NPI

Tooth Club for Kids Phoenix

  • Dental Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1053132084
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
TOOTH CLUB FOR KIDS PHOENIX
Practice address
7777 N 43Rd Ave
Phoenix, AZ 85051-5712
Phone
(602) 888-7844
Fax
(602) 843-1276
NPI assigned
Oct 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Authorized official

Name
Ms. Kimberlie April Stubbs
Title
Office Manager
Phone
(602) 843-1275

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

7777 N 43Rd Ave
Phoenix, AZ 85051-5712

Mailing address

4901 W Bell Rd Ste 100
Glendale, AZ 85308-3414
Phone (602) 843-1275

National Provider Directory

National Provider Directory

Locations

4901 W Bell Rd
Ste 100
Glendale, AZ 85308
Phone (602) 843-1275

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1729555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729555200000",
    "number": "1053132084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 W BELL RD STE 100",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853083414",
            "telephone_number": "602-843-1275",
            "fax_number": "602-843-1276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 N 43RD AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850515712",
            "telephone_number": "602-888-7844",
            "fax_number": "602-843-1276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOOTH CLUB FOR KIDS PHOENIX",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-22",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A",
        "authorized_official_last_name": "STUBBS",
        "authorized_official_first_name": "KIMBERLIE",
        "authorized_official_middle_name": "APRIL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "602-843-1275",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.