Gilbert Crossroads Kids' Dentists and Orthodontics, LLP

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

GILBERT CROSSROADS KIDS' DENTISTS AND ORTHODONTICS, LLP

Doing business as

Dentists of Gilbert Crossroads

Practice address

835 S. Gilbert Rd, Suite 104
Gilbert, AZ 85296

Phone

(480) 297-0979

Fax

(480) 366-4233

NPI assigned

Oct 6, 2020

Organization subpart

No

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

Authorized official

Name

Michael McDougal, DMD

Title

Owner

Phone

(480) 297-0979

Specialties & licenses 1

Addresses

Other names 1

• Dentists of Gilbert Crossroads Doing business as

Locations

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

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661385600000",
    "number": "1124625793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050",
            "telephone_number": "714-845-8500",
            "fax_number": "303-952-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 S. GILBERT RD, SUITE 104",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "85296",
            "telephone_number": "480-297-0979",
            "fax_number": "480-366-4233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILBERT CROSSROADS KIDS' DENTISTS AND ORTHODONTICS, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-06",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A",
        "authorized_official_last_name": "MCDOUGAL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-297-0979",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dentists of Gilbert Crossroads",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dentists of Gilbert Crossroads",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Gilbert Counselors, LLC
• Gilbert Dental Center
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• Gilbert Emergency Medicine Specialists LLC
• Gilbert Facility Group, LLC

• Dentist in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.