Individual provider Active NPI

Maureen Malingkas, D.M.D.

  • Pediatric Dentistry
  • Casa Grande, AZ
National Provider Identifier
1568957199
Registry record updated Sep 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
D010573 Issued in AZ
Practice address
907 E Cottonwood LN Ste 1
Casa Grande, AZ 85122-2226
Phone
(520) 876-5431
NPI assigned
Jun 26, 2018
Last updated
Sep 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X D010573 AZ Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

907 E Cottonwood LN Ste 1
Casa Grande, AZ 85122-2226

Mailing address

16830 W Hilton Ave
Goodyear, AZ 85338-7404
Phone (760) 985-8769

Other practice location 1

1714 W Hunt Hwy Ste 102
Queen Creek, AZ 85143-5245
Phone (480) 882-3145

Other practice location 2

10664 E Point Twenty Two Blvd
Mesa, AZ 85212-8874
Phone (480) 447-6724

Other practice location 3

1835 E Guadalupe Rd Ste C-107
Tempe, AZ 85283-3277
Phone (480) 838-5437

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210920000456 CA Order and Referring Only - DentistPractitioner - Dentist 0446657407

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Malingkas DMD PLLC Pediatric Dentistry CurrentSince Sep 8, 2024 Accepting new patients
Kid-1 Pediatric Dentistry Pediatric Dentistry PastSince Sep 8, 2024 Accepting new patients

Locations

907 E Cottonwood Ln
Ste 1
Casa Grande, AZ 85122
Phone (520) 876-5431

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725148800000",
    "number": "1568957199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16830 W HILTON AVE",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853387404",
            "telephone_number": "760-985-8769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 E COTTONWOOD LN STE 1",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851222226",
            "telephone_number": "520-876-5431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1714 W Hunt Hwy Ste 102",
            "address_purpose": "LOCATION",
            "city": "Queen Creek",
            "state": "AZ",
            "postal_code": "851435245",
            "country_code": "US",
            "telephone_number": "480-882-3145",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10664 E Point Twenty Two Blvd",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852128874",
            "country_code": "US",
            "telephone_number": "480-447-6724",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1835 E Guadalupe Rd Ste C-107",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852833277",
            "country_code": "US",
            "telephone_number": "480-838-5437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALINGKAS",
        "first_name": "MAUREEN",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-26",
        "last_updated": "2024-09-01",
        "certification_date": "2024-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AZ",
            "license": "D010573",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casa Grande, AZ

Sources for this page

Verify at the official NPI Registry.