Active NPI
Kids Dental 2 P.C.
Doing business as Kids Dental Place
- General Practice Dentistry
- Mesa, AZ
National Provider Identifier
1528392891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6399
- Legal business name
- KIDS DENTAL 2 P.C.
- Doing business as
- Kids Dental Place
- Practice address
- 3130 E Baseline Rd
#103-104
Mesa, AZ 85204-7290 - Phone
- (480) 813-3423
- Fax
- (480) 718-7387
- NPI assigned
- Sep 19, 2009
- Last updated
- Sep 19, 2009
- Organization subpart
- Yes
- Parent organization
- NBA DENTAL GROUP
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- George Raymond Ayoub, DDS
- Title
- Dentist
- Phone
- (602) 956-2024
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6399 | AZ | Primary |
Addresses
Primary practice location
3130 E Baseline Rd
#103-104
Mesa, AZ 85204-7290
Mailing address
3130 E Baseline Rd
#103-104
Mesa, AZ 85204-7290
Phone (480) 813-3423
Other names 1
- Kids Dental Place
National Provider Directory
National Provider Directory- Part of
- Nba Dental Group PC
Locations
3130 E Baseline Rd
#103104
Mesa, AZ 85204
Phone (480) 813-3423
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253318400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1253318400000",
"number": "1528392891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3130 E BASELINE RD",
"address_2": "#103-104",
"city": "MESA",
"state": "AZ",
"postal_code": "852047290",
"telephone_number": "480-813-3423",
"fax_number": "480-718-7387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3130 E BASELINE RD",
"address_2": "#103-104",
"city": "MESA",
"state": "AZ",
"postal_code": "852047290",
"telephone_number": "480-813-3423",
"fax_number": "480-718-7387"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIDS DENTAL 2 P.C.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NBA DENTAL GROUP",
"enumeration_date": "2009-09-19",
"last_updated": "2009-09-19",
"status": "A",
"authorized_official_last_name": "AYOUB",
"authorized_official_first_name": "GEORGE",
"authorized_official_middle_name": "RAYMOND",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "602-956-2024",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "6399",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Kids Dental Place",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.