NPIMap

Organization Active NPI

Growing Grins PLLC

Doing business as Growing Grins Pediatric Dentistry

  • Pediatric Dentistry
  • Gilbert, AZ
National Provider Identifier
1326128356
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
AZ5756 Issued in AZ
Legal business name
GROWING GRINS PLLC
Doing business as
Growing Grins Pediatric Dentistry
Practice address
3336 E Chandler Heights Rd
Suite 130
Gilbert, AZ 85297-4259
Phone
(480) 813-3636
NPI assigned
Oct 16, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Lior Berger, DMDNPI 1407936438
Title
Owner
Phone
(480) 813-3636

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
Pediatric Dentistry 1223P0221X AZ5756 AZ Primary

Addresses

Primary practice location

3336 E Chandler Heights Rd
Suite 130
Gilbert, AZ 85297-4259

Mailing address

413 E Vaughn Ave
Gilbert, AZ 85234-6451
Phone (480) 205-0222

Other identifiers 1

IdentifierTypeStateIssuer
115115OtherAZAHCCCS

Other names 1

  • Growing Grins Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

3336 E Chandler Heights Rd
Ste 130
Gilbert, AZ 85298
Phone (480) 813-3636

Practitioners & affiliated clinicians

Practitioners 3

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": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326128356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 E VAUGHN AVE",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852346451",
            "telephone_number": "480-205-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3336 E CHANDLER HEIGHTS RD",
            "address_2": "SUITE 130",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852974259",
            "telephone_number": "480-813-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROWING GRINS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERGER",
        "authorized_official_first_name": "LIOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-813-3636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AZ",
            "license": "AZ5756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "115115",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Growing Grins Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.