Active NPI
Kian Tingey
- General Practice Dentistry
- Peoria, AZ
National Provider Identifier
1538052295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D012512
- Practice address
- 8345 W Thunderbird Rd Ste B100
Peoria, AZ 85381-3668 - Phone
- (602) 943-3700
- NPI assigned
- Jun 2, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D012512 | AZ | Primary |
Addresses
Primary practice location
8345 W Thunderbird Rd Ste B100
Peoria, AZ 85381-3668
Mailing address
7022 W Maya Way
Peoria, AZ 85383-5564
Phone (425) 985-6003
Other names 1
- Dr. Kian Tingey
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D012512 | AZ | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ultra Dental Peoria LLC | General Practice | Current | Accepting new patients |
Locations
8345 W Thunderbird Rd
Ste B100
Peoria, AZ 85381
Phone (602) 943-3700
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748822400000",
"number": "1538052295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7022 W MAYA WAY",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853835564",
"telephone_number": "425-985-6003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8345 W THUNDERBIRD RD STE B100",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853813668",
"telephone_number": "602-943-3700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TINGEY",
"first_name": "KIAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-06-02",
"last_updated": "2025-06-02",
"certification_date": "2025-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "D012512",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KIAN",
"last_name": "TINGEY",
"prefix": "DR.",
"credential": "D.M.D",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Peoria, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.