Organization Active NPI

Him Specialty Healthcare PLLC

  • Pediatric Dentistry
  • Surprise, AZ
National Provider Identifier
1417869967
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
HIM SPECIALTY HEALTHCARE PLLC
Practice address
15128 W Bell Rd Ste 12
Surprise, AZ 85374-2451
Phone
(623) 698-4494
NPI assigned
Sep 21, 2026
Last updated
Sep 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2026

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

Authorized official

Name
Dr. Ibifuro Earley, DDS
Title
Member
Phone
(623) 698-4494

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

15128 W Bell Rd Ste 12
Surprise, AZ 85374-2451

Mailing address

9813 N 180TH Ave
Waddell, AZ 85355-4102
Phone (623) 698-4494

NPI Registry JSON

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

{
    "created_epoch": "1789948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789948800000",
    "number": "1417869967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9813 N 180TH AVE",
            "city": "WADDELL",
            "state": "AZ",
            "postal_code": "853554102",
            "telephone_number": "623-698-4494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15128 W BELL RD STE 12",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853742451",
            "telephone_number": "623-698-4494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIM SPECIALTY HEALTHCARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-21",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-20",
        "status": "A",
        "authorized_official_last_name": "EARLEY",
        "authorized_official_first_name": "IBIFURO",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "623-698-4494",
        "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": []
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.