Kids Dental Specialists LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

D5802 Issued in AZ

Legal business name

KIDS DENTAL SPECIALISTS LLC

Practice address

1305 S Alma School Rd
Mesa, AZ 85210-2070

Phone

(480) 833-3330

Fax

(480) 461-0101

NPI assigned

Apr 24, 2012

Last updated

Apr 24, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David Haaslo

Title

Member

Phone

(480) 833-3330

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Zara Haaslo, D.D.S ., M.S.C.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Phoenix, AZ
  • NPI 1750448312
  NPD (past)

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335225600000",
    "number": "1477811842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15387",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850605387",
            "telephone_number": "480-833-3330",
            "fax_number": "480-461-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 S ALMA SCHOOL RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852102070",
            "telephone_number": "480-833-3330",
            "fax_number": "480-461-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS DENTAL SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-24",
        "last_updated": "2012-04-24",
        "status": "A",
        "authorized_official_last_name": "HAASLO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "480-833-3330",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AZ",
            "license": "D5802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nayomi J Kidd-Steele
• Stephanie Kidder
• Kidnurse, LLC (KidNurse)
• Kids Dental 2 P.C. (Kids Dental Place)
• Kids Dental Group PLLC (Mesa Pediatric Dentistry)
• Kidzspot Pediatric Therapy-East Valley
• Olivia Kieffer, PA-C
• Pamela Lynn Kielbowicz, NP
• Keira Kielmeyer, LAC
• Lance David Kieser, AUD

• 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, 2012; 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.