NPIMap

Organization Active NPI

Promenade Smiles, LLP

Doing business as Promenade Smiles

  • General Practice Dentistry
  • Casa Grande, AZ
National Provider Identifier
1437392248
Registry record updated Oct 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PROMENADE SMILES, LLP
Doing business as
Promenade Smiles
Practice address
808 N Mission Pkwy
Casa Grande, AZ 85194-8412
Phone
(520) 426-3639
Fax
(520) 836-7208
NPI assigned
Apr 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2010

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

Authorized official

Name
Dr. Darin S Reagan, DDS
Title
Owner Doctor
Phone
(520) 426-3639

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

808 N Mission Pkwy
Casa Grande, AZ 85194-8412

Mailing address

2860 Michelle
2ND Floor
Irvine, CA 92606-1009
Phone (714) 368-2077

Other names 1

  • Promenade Smiles Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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": "1239148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287705600000",
    "number": "1437392248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 MICHELLE",
            "address_2": "2ND FLOOR",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926061009",
            "telephone_number": "714-368-2077",
            "fax_number": "714-368-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 N MISSION PKWY",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851948412",
            "telephone_number": "520-426-3639",
            "fax_number": "520-836-7208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMENADE SMILES, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-08",
        "last_updated": "2010-10-22",
        "status": "A",
        "authorized_official_last_name": "REAGAN",
        "authorized_official_first_name": "DARIN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "520-426-3639",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Promenade Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Casa Grande, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2010; 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.