Organization Active NPI

South Mountain Smiles PLLC

  • General Practice Dentistry
  • Chandler, AZ
National Provider Identifier
1285572743
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SOUTH MOUNTAIN SMILES PLLC
Practice address
290 S Alma School Rd Ste 9
Chandler, AZ 85224-7633
Phone
(480) 857-4900
Fax
(480) 857-4904
NPI assigned
Mar 24, 2026
Last updated
Mar 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Authorized official

Name
Dr. John Kyle Groberg, DMDNPI 1336832260
Title
Owner
Phone
(480) 532-8265

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

290 S Alma School Rd Ste 9
Chandler, AZ 85224-7633

Mailing address

290 S Alma School Rd Ste 9
Chandler, AZ 85224-7633
Phone (480) 857-4900

National Provider Directory

National Provider Directory

Locations

290 S Alma School Rd
Ste 9
Chandler, AZ 85224
Phone (480) 857-4900

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1774310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774310400000",
    "number": "1285572743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 S ALMA SCHOOL RD STE 9",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852247633",
            "telephone_number": "480-857-4900",
            "fax_number": "480-857-4904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 S ALMA SCHOOL RD STE 9",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852247633",
            "telephone_number": "480-857-4900",
            "fax_number": "480-857-4904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH MOUNTAIN SMILES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-24",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A",
        "authorized_official_last_name": "GROBERG",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "KYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-532-8265",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; 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.