Kidiatric Orthodontics PLLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

KIDIATRIC ORTHODONTICS PLLC

Practice address

224 W Chandler Heights Rd
Chandler, AZ 85248-5072

Phone

(480) 494-2001

NPI assigned

Jul 26, 2018

Last updated

Sep 21, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Walter Villanueva

Title

Doctor

Phone

(480) 494-2001

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jad William Tawil, DMD

  • Pediatric Dentistry
  • Chandler, AZ
  • NPI 1932798055
  NPD (past)

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

{
    "created_epoch": "1532563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537488000000",
    "number": "1154808749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 W CHANDLER HEIGHTS RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852485072",
            "telephone_number": "480-494-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 W CHANDLER HEIGHTS RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852485072",
            "telephone_number": "480-494-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDIATRIC ORTHODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-26",
        "last_updated": "2018-09-21",
        "status": "A",
        "authorized_official_last_name": "VILLANUEVA",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "480-494-2001",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rajan Khosla, M.D.
• Nilam P Khurana, M.D.
• Ki Ngo DMD PC (Dobson Warner Dentistry)
• Anjanette Kibby, FNP-C
• Afeworki Ocbaghiorgis Kidane, DO
• Kids First Pediatric Dentistry
• Allison Kidwell, P.T
• Sarrah Elizabeth Kiermayr, M.S., CFY, SLP
• Rula Michelle Kilano, PA-C
• Steven Richard Kilbas, D.C.

• Orthodontics and Dentofacial Orthopedics Dentistry in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2018; 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.