Peds Smiles Group LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

PEDS SMILES GROUP LLC

Doing business as

Farmville Pediatric Dentistry

Practice address

3875 E Williams Field Rd
#203
Gilbert, AZ 85295

Phone

(520) 250-3931

NPI assigned

Jun 30, 2023

Last updated

Jun 30, 2023By 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. Carlos Valenzuela, DMDNPI 1336524552

Title

Pediatric Dentist

Phone

(520) 250-3931

Specialties & licenses 1

Addresses

Other names 1

• FARMVILLE PEDIATRIC DENTISTRY Doing business as

Locations

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.

• Carlos Valenzuela, DMD

  • Pediatric Dentistry
  • Boston, MA
  • NPI 1336524552
  NPD Authorized official

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

{
    "created_epoch": "1688083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688083200000",
    "number": "1225715386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6267",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852466267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3875 E WILLIAMS FIELD RD",
            "address_2": "#203",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "85295",
            "telephone_number": "520-250-3931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDS SMILES GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-30",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-19",
        "status": "A",
        "authorized_official_last_name": "VALENZUELA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "520-250-3931",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FARMVILLE PEDIATRIC DENTISTRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brenna Peck, LPC
• Rita Ann Peck, D.M.D.
• Pediatric Adult Endocrine Gilbert
• Pediatric Dental Associates of Arizona, PLLC
• Pediatric Dental Specialists, PPC
• Jeffrey Daniel Peifer, DMD
• Kali Pellegrino, FNP-C, RN
• Michelle Pemberton, PMHNP-BC
• Pen Chiropractic PLC
• Glynda Pender

• Pediatric Dentistry in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Pediatric Dentistry in Arizona

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