NPIMap

Organization Active NPI

Tran Dental GRP. LLC

Doing business as Kidz Connextion Dental Centers

  • General Practice Dentistry
  • Phoenix, AZ
National Provider Identifier
1578808739
Registry record updated Feb 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D5376 Issued in AZ
Legal business name
TRAN DENTAL GRP. LLC
Doing business as
Kidz Connextion Dental Centers
Practice address
524 E. Baseline Road
Phoenix, AZ 85042-2300
Phone
(602) 276-4004
Fax
(602) 276-6117
NPI assigned
Nov 29, 2012
Last updated
Feb 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2014

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

Authorized official

Name
John Graneto, D.M.D.
Title
President/Owner
Phone
(623) 223-1001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D5376 AZ Primary

Addresses

Primary practice location

524 E. Baseline Road
Phoenix, AZ 85042-2300

Mailing address

4727 E Bell Rd
Suite # 45101
Phoenix, AZ 85032-2308
Phone (623) 223-1001

Other names 1

  • Kidz Connextion Dental Centers Doing business as

National Provider Directory

National Provider Directory

Locations

4727 E Bell Rd
Ste 45101
Phoenix, AZ 85032

524 E Baseline Rd
Phoenix, AZ 85042
Phone (480) 725-0729

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1354147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392681600000",
    "number": "1578808739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4727 E BELL RD",
            "address_2": "SUITE # 45101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322308",
            "telephone_number": "623-223-1001",
            "fax_number": "623-873-7440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 E. BASELINE ROAD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850422300",
            "telephone_number": "602-276-4004",
            "fax_number": "602-276-6117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAN DENTAL GRP. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-29",
        "last_updated": "2014-02-18",
        "status": "A",
        "authorized_official_last_name": "GRANETO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "623-223-1001",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D5376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kidz Connextion Dental Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; 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.