NPIMap

Organization Active NPI

Just for Kids Dental Group Bullhead, PLLC

  • Pediatric Dentistry
  • Bullhead City, AZ
National Provider Identifier
1154827160
Registry record updated Mar 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
JUST FOR KIDS DENTAL GROUP BULLHEAD, PLLC
Practice address
2580 Hway 95 Ste 101
Bullhead City, AZ 86442-7324
Phone
(928) 718-7188
NPI assigned
Mar 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2018

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

Authorized official

Name
David Steffen
Title
Regional Office Manger
Phone
(928) 718-7188

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X
Pediatric DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

2580 Hway 95 Ste 101
Bullhead City, AZ 86442-7324

Mailing address

2401 N Stockton Hill Rd Ste 1
Kingman, AZ 86401-4189
Phone (928) 718-7188

Other names 1

  • Just For Kids Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

2580 Highway 95
Ste 101
Bullhead City, AZ 86442
Phone (928) 718-7188

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": "1522368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522368000000",
    "number": "1154827160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 N STOCKTON HILL RD STE 1",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864014189",
            "telephone_number": "928-718-7188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2580 HWAY 95 STE 101",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864427324",
            "telephone_number": "928-718-7188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUST FOR KIDS DENTAL GROUP BULLHEAD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-30",
        "last_updated": "2018-03-30",
        "status": "A",
        "authorized_official_last_name": "STEFFEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "REGIONAL OFFICE MANGER",
        "authorized_official_telephone_number": "928-718-7188"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Just For Kids Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bullhead City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.