Individual provider Active NPI

Kian Tingey

  • General Practice Dentistry
  • Peoria, AZ
National Provider Identifier
1538052295
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D012512 Issued in AZ
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

Updated by the provider on Jun 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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

LicenseStateTypeSpecialty
D012512AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ultra Dental Peoria LLC General Practice CurrentSince Jun 8, 2025 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.

Verify at the official NPI Registry.