Kidz Dental Partners, LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

KIDZ DENTAL PARTNERS, LLC

Doing business as

Kidz Dental

Practice address

7725 S Emerson Ave
Indianapolis, IN 46237-8654

Phone

(317) 426-0042

NPI assigned

Aug 8, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Evelyn Perez, DDS, MSDNPI 1508490921

Title

Pediatric Dentist

Phone

(317) 426-0042

Specialties & licenses 1

Addresses

Other names 1

• KIDZ DENTAL Doing business as

Locations

Practitioners 1

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

• Evelyn Perez, EVELYN

  • Pediatric Dentistry
  • Indianapolis, IN
  • NPI 1508490921
  NPD Authorized official

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

{
    "created_epoch": "1691452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691452800000",
    "number": "1528741329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 MALLARD WAY",
            "city": "WASHINGTON",
            "state": "IL",
            "postal_code": "615718000",
            "telephone_number": "317-426-0042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7725 S EMERSON AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462378654",
            "telephone_number": "317-426-0042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDZ DENTAL PARTNERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-08",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "317-426-0042",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KIDZ DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kids Only, Inc
• Kids Theraplay, Inc.
• Christopher W Kidwell Jr., MD
• Emma Kidwell, BCBA
• Susan Mary Kidwell, RPH
• Holly M Kieda, NP
• Juliann Kay Kiefer, NP
• Lisa Kiefer, RN
• Lori R Kiefer, MD
• Katrina Kieffer

• Pediatric Dentistry in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Pediatric Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; 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.