Litchfield Dental Care

Primary specialty

DentistTaxonomy code 122300000X

License

D05476 Issued in AZ

Legal business name

LITCHFIELD DENTAL CARE

Practice address

14044 W Camelback Rd
Suite 106
Litchfield Park, AZ 85340-9428

Phone

(623) 547-0307

NPI assigned

Mar 29, 2016

Organization subpart

No

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

Authorized official

Name

John Kim, DDS

Title

Owner

Phone

(623) 547-0307

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Mardin Ghasha Yokhana, DMD

  • Dentist
  • Litchfield Park, AZ
  • NPI 1538712898
  NPD (past)

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

{
    "created_epoch": "1459209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459209600000",
    "number": "1144683061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14044 W CAMELBACK RD",
            "address_2": "SUITE 106",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853409428",
            "telephone_number": "623-547-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14044 W CAMELBACK RD",
            "address_2": "SUITE 106",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853409428",
            "telephone_number": "623-547-0307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITCHFIELD DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-29",
        "last_updated": "2016-03-29",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-547-0307",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D05476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabrina Leon, RBT
• Ciara Leonard, RN
• Elisea Limones
• Lis J Dodd, PLLC
• Litchfield Anesthesia Group LLC
• Litchfield Park Chiropractic, PLC
• Litchfield Park Speech Services, L.L.C.
• Litchfield School District #79
• Litchfield School District #79
• Litchfield Smiles

• Dentist in Litchfield Park, AZ
• Providers in Litchfield Park, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; 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.