Kids Dental Group PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

KIDS DENTAL GROUP PLLC

Doing business as

Mesa Pediatric Dentistry

Practice address

6239 E Brown Rd Ste 102
Mesa, AZ 85205-4933

Phone

(480) 396-3660

NPI assigned

Apr 24, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Ponce, DDSNPI 1871707315

Title

Owner

Phone

(646) 234-6578

Specialties & licenses 1

Addresses

Other names 1

• Mesa Pediatric Dentistry Doing business as

Locations

Practitioners 1

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

• Daniel Ponce, DDS

  • Pediatric Dentistry
  • Buckeye, AZ
  • NPI 1871707315
  NPD Authorized official

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

{
    "created_epoch": "1524528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524528000000",
    "number": "1407344567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6025 N 27TH AVE STE 25",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850171765",
            "telephone_number": "602-595-9199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6239 E BROWN RD STE 102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852054933",
            "telephone_number": "480-396-3660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS DENTAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-24",
        "last_updated": "2018-04-24",
        "status": "A",
        "authorized_official_last_name": "PONCE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-234-6578",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mesa Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Antony Kibet, PHARMD
• Nayomi J Kidd-Steele
• Stephanie Kidder
• Kidnurse, LLC (KidNurse)
• Kids Dental 2 P.C. (Kids Dental Place)
• Kids Dental Specialists LLC
• Kidzspot Pediatric Therapy-East Valley
• Olivia Kieffer, PA-C
• Pamela Lynn Kielbowicz, NP
• Keira Kielmeyer, LAC

• Pediatric Dentistry in Mesa, AZ
• Providers in Mesa, 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 24, 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.