Maricopa Kids Dentists and Orthodontics, LLP

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

MARICOPA KIDS DENTISTS AND ORTHODONTICS, LLP

Doing business as

Maricopa Kids Dentists and Orthodontics

Practice address

41940 W Maricopa Casa Grande Hwy Ste 120
Maricopa, AZ 85138-3234

Phone

(520) 589-2919

Fax

(520) 589-2732

NPI assigned

Mar 11, 2020

Organization subpart

No

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

Authorized official

Name

Eric Ellis, DMD

Title

Owner

Phone

(520) 589-2919

Specialties & licenses 1

Addresses

Other names 1

• Maricopa Kids Dentists and Orthodontics Doing business as

Locations

Practitioners 1

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

• Jinal Patel, DMD

  • Pediatric Dentistry
  • Maricopa, AZ
  • NPI 1851966147
  NPD

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

{
    "created_epoch": "1583884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583884800000",
    "number": "1124653035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 RED HILL AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41940 W MARICOPA CASA GRANDE HWY STE 120",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851383234",
            "telephone_number": "520-589-2919",
            "fax_number": "520-589-2732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARICOPA KIDS DENTISTS AND ORTHODONTICS, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-11",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-589-2919",
        "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": "Maricopa Kids Dentists and Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maricopa Family Dental LLC
• Maricopa Family Dentistry & Orthodontics
• Maricopa Family Health Center LLC
• Maricopa Family Practice
• Maricopa Family Psychiatry PLLC
• Maricopa Smiles, LLC
• Maricopa Unified School District
• Maricopa Unified School District
• Maricopa We Care
• Maricopa We Care LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; 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.