Organization Active NPI

Cute Smiles 4 Kids, LLC

  • Dentist
  • Phoenix, AZ
National Provider Identifier
1659798684
Registry record updated Mar 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
F282 Issued in AZ
Legal business name
CUTE SMILES 4 KIDS, LLC
Practice address
3101 W Indian School Rd
Phoenix, AZ 85017-4035
Phone
(602) 861-3333
Fax
(866) 247-0319
NPI assigned
Mar 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2014

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

Authorized official

Name
Sherry Scott, MBA
Title
Managing Partner
Phone
(480) 258-1876

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X F282 AZ Primary

Addresses

Primary practice location

3101 W Indian School Rd
Phoenix, AZ 85017-4035

Mailing address

3101 W Indian School Rd
Phoenix, AZ 85017-4035
Phone (602) 861-3333

Other identifiers 1

IdentifierTypeStateIssuer
381945MedicaidAZ

National Provider Directory

National Provider Directory
Tax ID family
Cute Smiles 4 Kids2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1395878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395878400000",
    "number": "1659798684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 W INDIAN SCHOOL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850174035",
            "telephone_number": "602-861-3333",
            "fax_number": "866-247-0319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 W INDIAN SCHOOL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850174035",
            "telephone_number": "602-861-3333",
            "fax_number": "866-247-0319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUTE SMILES 4 KIDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-27",
        "last_updated": "2014-03-27",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "480-258-1876",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "F282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381945",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Mar 27, 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.