Gilbert Kidtastic Dental LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

GILBERT KIDTASTIC DENTAL LLC

Practice address

3303 E Queen Creek Rd Ste 106
Gilbert, AZ 85297-8532

Phone

(480) 988-2079

NPI assigned

Oct 3, 2019

Organization subpart

No

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

Authorized official

Name

Faith Gaskins

Title

Director of Credentialing

Phone

(972) 869-3789

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Todd David Butler, D.D.S

  • Pediatric Dentistry
  • San Tan Valley, AZ
  • NPI 1528322658
  NPD (past)
• Gavin Cotant Christensen, D.M.D.

  • Pediatric Dentistry
  • Phoenix, AZ
  • NPI 1861663635
  NPD (past)

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

{
    "created_epoch": "1570060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570060800000",
    "number": "1497396170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 E QUEEN CREEK RD STE 106",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852978532",
            "telephone_number": "480-988-2079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 E QUEEN CREEK RD STE 106",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852978532",
            "telephone_number": "480-988-2079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILBERT KIDTASTIC DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-03",
        "last_updated": "2019-10-03",
        "status": "A",
        "authorized_official_last_name": "GASKINS",
        "authorized_official_first_name": "FAITH",
        "authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gilbert Family Medicine Keith
• Gilbert Health Center LLC
• Gilbert Individual & Family Therapy, PLLC
• Gilbert Integrative Medical Center Inc
• Gilbert Internal Medicine LLC
• Gilbert Medical Group LLC
• Gilbert Modern Dentistry and Orthodontics, LLP
• Gilbert Neurology Partners PLLC
• Gilbert Neurology,LLC
• Gilbert Pain Medicine LLC

• Pediatric Dentistry in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Pediatric Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; 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.