NPIMap

Organization Active NPI

Totally Kids Dental P.C.

  • Pediatric Dentistry
  • Phoenix, AZ
National Provider Identifier
1134833502
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
TOTALLY KIDS DENTAL P.C.
Practice address
3825 N 75TH Ave Ste 101&102
Phoenix, AZ 85033-3700
Phone
(602) 610-5088
Fax
(602) 806-8910
NPI assigned
Jan 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Authorized official

Name
Ryan B. Baker, DMD, MPH, MSNPI 1922465053
Title
Owner
Phone
(602) 610-5088

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 MULTIPLE SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

3825 N 75TH Ave Ste 101&102
Phoenix, AZ 85033-3700

Mailing address

3825 N 75TH Ave Ste 101&102
Phoenix, AZ 85033-3700
Phone (602) 610-5088

Other identifiers 1

IdentifierTypeStateIssuer
D010661OtherLICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL totaldentalaz@gmail.com

National Provider Directory

National Provider Directory
Tax ID family
Total Kids Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1673308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673308800000",
    "number": "1134833502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 N 75TH AVE STE 101&102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850333700",
            "telephone_number": "602-610-5088",
            "fax_number": "602-806-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 N 75TH AVE STE 101&102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850333700",
            "telephone_number": "602-610-5088",
            "fax_number": "602-806-8910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTALLY KIDS DENTAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-10",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-610-5088",
        "authorized_official_credential": "DMD, MPH, MS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "D010661",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "totaldentalaz@gmail.com",
            "affiliation": "N",
            "address_1": "3825 N 75th Ave Ste 101&102",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850333700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jan 10, 2023; 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.