Kidz Connextion Dental Center

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D5376 Issued in AZ

Legal business name

KIDZ CONNEXTION DENTAL CENTER

Practice address

2533 N 75TH Ave
Phoenix, AZ 85035-1211

Phone

(623) 223-1001

Fax

(623) 873-7440

NPI assigned

Nov 17, 2010

Last updated

Feb 6, 2014By 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. John Graneto, D.M.D.

Title

President/Owner

Phone

(623) 223-1001

Specialties & licenses 1

Addresses

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.

• Christopher Scott Coplin, D.M.D

  • General Practice Dentistry
  • Phoenix, AZ
  • NPI 1407901069
  NPD (past)

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

{
    "created_epoch": "1289952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391644800000",
    "number": "1295037687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4727 E BELL RD",
            "address_2": "SUITE # 45101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322308",
            "telephone_number": "623-223-1001",
            "fax_number": "623-873-7440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2533 N 75TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850351211",
            "telephone_number": "623-223-1001",
            "fax_number": "623-873-7440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDZ CONNEXTION DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-17",
        "last_updated": "2014-02-06",
        "status": "A",
        "authorized_official_last_name": "GRANETO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "623-223-1001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D5376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kids Kare Pediatrics
• Kids Kare Pediatrics
• Kids Kare Pediatrics PC
• Kids Telespeech, PLLC
• Kids' Imaging in the Desert, PLLC
• Kidzgut PLLC
• Julie Kiefer
• Marilyn Kieffer-Andrews, RNP, PH.D.
• Sarah Kiel, RN, CPNP
• Alden F Kielhorn, MD

• General Practice Dentistry in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2014; 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.