Organization Active NPI

Just for Kids Dental Group Kingman, PLLC

Doing business as Just For Kid Dentistry

  • Pediatric Dentistry
  • Kingman, AZ
National Provider Identifier
1336645340
Registry record updated Mar 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
JUST FOR KIDS DENTAL GROUP KINGMAN, PLLC
Doing business as
Just For Kid Dentistry
Practice address
2401 N Stockton Hill Rd Ste 1
Kingman, AZ 86401-4189
Phone
(928) 718-7188
NPI assigned
Mar 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2018

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

Authorized official

Name
David Steffen
Title
Regional Office Manger
Phone
(928) 718-7188

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X
Pediatric DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

2401 N Stockton Hill Rd Ste 1
Kingman, AZ 86401-4189

Mailing address

2401 N Stockton Hill Rd Ste 1
Kingman, AZ 86401-4189
Phone (928) 718-7188

Other names 1

  • Just For Kid Dentistry Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1522368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522368000000",
    "number": "1336645340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 N STOCKTON HILL RD STE 1",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864014189",
            "telephone_number": "928-718-7188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 N STOCKTON HILL RD STE 1",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864014189",
            "telephone_number": "928-718-7188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUST FOR KIDS DENTAL GROUP KINGMAN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-30",
        "last_updated": "2018-03-30",
        "status": "A",
        "authorized_official_last_name": "STEFFEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "REGIONAL OFFICE MANGER",
        "authorized_official_telephone_number": "928-718-7188"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Just For Kid Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kingman, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2018; 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.