Tempe Smiles Family Dental, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

TEMPE SMILES FAMILY DENTAL, PC

Practice address

7660 S McClintock Dr
Suite #101
Tempe, AZ 85284-1621

Phone

(480) 831-8022

Fax

(480) 831-8023

NPI assigned

Jun 20, 2012

Organization subpart

No

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

Authorized official

Name

Tracey Dalton

Title

Credentialing Specialist

Phone

(623) 640-0267

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristine Thomas, DMD

  • General Practice Dentistry
  • Phoenix, AZ
  • NPI 1164553988
  NPD (past)
• Fawad J Shah, D.M.D.

  • General Practice Dentistry
  • Mount Prospect, IL
  • NPI 1356506364
  NPD (past)

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

{
    "created_epoch": "1340150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624320000000",
    "number": "1295098689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7660 S MCCLINTOCK DR STE 101",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852841642",
            "telephone_number": "623-640-0267",
            "fax_number": "602-344-9713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7660 S MCCLINTOCK DR",
            "address_2": "SUITE #101",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852841621",
            "telephone_number": "480-831-8022",
            "fax_number": "480-831-8023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEMPE SMILES FAMILY DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-20",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A",
        "authorized_official_last_name": "DALTON",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "623-640-0267"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tempe Physician Services LLC
• Tempe Primary Care LLC
• Tempe Psychiatry
• Tempe School District #3
• Tempe School District#3
• Tempe Surgical Center LTD
• Tempe Tbi Home Care
• Tempe Trails LLC
• Tempe Union High School District
• Tempe Union High School District

• General Practice Dentistry in Tempe, AZ
• Providers in Tempe, 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 Jun 22, 2021; 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.