Kids Dentists of Surprise and Orthodontics, LLP

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

KIDS DENTISTS OF SURPRISE AND ORTHODONTICS, LLP

Doing business as

Kids Dentists of Surprise and Orthodontics

Practice address

15180 N. Cotton Lane, Suite 104
Surprise, AZ 85388

Phone

(623) 214-6543

Fax

(623) 214-5830

NPI assigned

Jul 25, 2019

Last updated

Jul 25, 2019By 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

Isabel C Simpson, DMD

Title

Owner

Phone

(623) 214-6543

Specialties & licenses 1

Addresses

Other names 1

• Kids Dentists of Surprise and Orthodontics Doing business as

Locations

Practitioners 2

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.

• Steven Lee Farnsworth, DDS, PHD

  • Dental Anesthesiology
  • Surprise, AZ
  • NPI 1194231969

  Dentist

  NPD
• Tina Ptacek, DMD

  • Pediatric Dentistry
  • Surprise, AZ
  • NPI 1649403775
  NPD

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

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564012800000",
    "number": "1508410887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 RED HILL AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145626",
            "telephone_number": "714-845-8500",
            "fax_number": "303-952-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15180 N. COTTON LANE, SUITE 104",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "85388",
            "telephone_number": "623-214-6543",
            "fax_number": "623-214-5830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS DENTISTS OF SURPRISE AND ORTHODONTICS, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-25",
        "last_updated": "2019-07-25",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "ISABEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-214-6543",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kids Dentists of Surprise and Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Merieme Khamsi, PA
• Musab Khan, MD
• Baldish Kaur Khera, FNP-C
• Shanet Kidane, M.S.
• Kids Dental Surprise, LLC
• Julia Kilduff, M.S. SLP-CCC
• Luke Kilduff
• Heather Killam, NP
• Diana Kim, DDS
• John Y. Kim, D.D.S.

• Dentist in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.