Kidz R Kool

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

KIDZ R KOOL

Practice address

7505 W Deer Valley Rd
Suite 110
Peoria, AZ 85382-2107

Phone

(623) 572-5777

Fax

(623) 572-7288

NPI assigned

Apr 8, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Celeste Brenke

Title

Office Manager/Owner

Phone

(623) 572-5777

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 4

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

• Anna C Green, D.D.S.

  • Pediatric Dentistry
  • Peoria, AZ
  • NPI 1518551704
  NPD (past)
• Fatima Pimentel Saiz, DMD

  • Pediatric Dentistry
  • Peoria, AZ
  • NPI 1558656223
  NPD (past)
• Morghan Elizabeth Teeters, D.M.D.

  • Pediatric Dentistry
  • Peoria, AZ
  • NPI 1649558578
  NPD (past)
• Michael S. Goodman, D. D. S.

  • Pediatric Dentistry
  • Willimantic, CT
  • NPI 1043275548
  NPD (past)

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

{
    "created_epoch": "1428451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428451200000",
    "number": "1336535152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7505 W DEER VALLEY RD",
            "address_2": "SUITE 110",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853822107",
            "telephone_number": "623-572-5777",
            "fax_number": "623-572-7288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7505 W DEER VALLEY RD",
            "address_2": "SUITE 110",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853822107",
            "telephone_number": "623-572-5777",
            "fax_number": "623-572-7288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDZ R KOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-08",
        "last_updated": "2015-04-08",
        "status": "A",
        "authorized_official_last_name": "BRENKE",
        "authorized_official_first_name": "CELESTE",
        "authorized_official_title_or_position": "OFFICE MANAGER/OWNER",
        "authorized_official_telephone_number": "623-572-5777",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "390493-004",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Neha Khan
• Shamina Khan, PA
• Azimuddin Tareq Khawaja, MD
• Leia Kidd
• Kids Dental Peoria, LLC
• John Peter Kieley, MD
• Annette Kietur
• Albert Kim, D.C.
• Chris Kim, NP
• Melissa Joy Kim, PA-C

• Pediatric Dentistry in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Pediatric Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2015; 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.