Kids Grins-Queen Creek

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

KIDS GRINS-QUEEN CREEK

Practice address

20261 E Ocotillo Rd Ste 130
Queen Creek, AZ 85142-8806

Phone

(480) 284-6630

Fax

(480) 590-4436

NPI assigned

Sep 19, 2022

Last updated

Sep 27, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

JOHN W. TAYLOR, DDS, PLLCAs reported in NPPES

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

Authorized official

Name

Tessa Baughn

Title

Office Manager

Phone

(480) 284-6630

Specialties & licenses 1

Addresses

Part of

John W Taylor DDS PLLC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• John W. Taylor, DDS, PLLC

  dba Kids Grins Pediatric Dentistry

  • Pediatric Dentistry
  • Mesa, AZ
  • NPI 1245411644
  NPPES parent name

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664236800000",
    "number": "1184347833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20261 E OCOTILLO RD STE 130",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851428806",
            "fax_number": "480-590-4436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20261 E OCOTILLO RD STE 130",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851428806",
            "telephone_number": "480-284-6630",
            "fax_number": "480-590-4436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS GRINS-QUEEN CREEK",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOHN W. TAYLOR, DDS, PLLC",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A",
        "authorized_official_last_name": "BAUGHN",
        "authorized_official_first_name": "TESSA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "480-284-6630"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marylee Kennedy
• Saundra Kennon, SLPA
• Hadia Yaqub Khan, MD
• Tiffany A Khan, RPH
• Silas Mwesigwa Kibazo, PHARM.D
• Martha Kay Kieffer, RN, BSN, MS
• Adrienne Kilbride, RBT
• Harold Kilgore
• Dae Woong Kim
• Kindred Midwifery and Wellness LLC (Kindred Midwifery and Wellness)

• Pediatric Dentistry in Queen Creek, AZ
• Providers in Queen Creek, AZ by specialty
• Pediatric Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; 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.