NPIMap

Organization Active NPI

Litchfield Smiles

  • General Practice Dentistry
  • Litchfield Park, AZ
National Provider Identifier
1285294140
Registry record updated Jun 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LITCHFIELD SMILES
Practice address
4900 N Litchfield Road Byp Ste C1
Litchfield Park, AZ 85340-0966
Phone
(623) 935-5055
NPI assigned
Jun 13, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2019

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

Authorized official

Name
Laura Ann Vaughn
Title
Practice Administrator
Phone
(623) 935-5055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

4900 N Litchfield Road Byp Ste C1
Litchfield Park, AZ 85340-0966

Mailing address

34225 N 27TH Dr
BLDG 5 Ste 241
Phoenix, AZ 85085
Phone (623) 935-5055

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address office@litchfieldsmiles.com

National Provider Directory

National Provider Directory

Locations

4900 N Litchfield Road Byp
Ste C1
Litchfield Park, AZ 85340
Phone (623) 935-5055

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": "1560384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560384000000",
    "number": "1285294140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34225 N 27TH DR",
            "address_2": "BLDG 5 STE 241",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85085",
            "telephone_number": "623-935-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 N LITCHFIELD ROAD BYP STE C1",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853400966",
            "telephone_number": "623-935-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITCHFIELD SMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-13",
        "last_updated": "2019-06-13",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "623-935-5055"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "office@litchfieldsmiles.com",
            "affiliation": "N",
            "endpointDescription": "office email",
            "address_1": "4900 N Litchfield Road Byp Ste C1",
            "city": "Litchfield Park",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853400966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Litchfield Park, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; 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.