Tiny Teeth Pediatric Dentistry, LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

TINY TEETH PEDIATRIC DENTISTRY, LLC

Practice address

3933 N. Maize Rd
Suite 200
Wichita, KS 67205-6710

Phone

(316) 202-0140

Fax

(316) 202-0141

NPI assigned

Nov 8, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Healy, DDS

Title

Member/Manager

Phone

(913) 220-8907

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1541635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541635200000",
    "number": "1679041644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3933 N MAIZE RD STE 200",
            "city": "MAIZE",
            "state": "KS",
            "postal_code": "671019619",
            "telephone_number": "316-202-0140",
            "fax_number": "316-204-0141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3933 N. MAIZE RD",
            "address_2": "SUITE 200",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672056710",
            "telephone_number": "316-202-0140",
            "fax_number": "316-202-0141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TINY TEETH PEDIATRIC DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-08",
        "last_updated": "2018-11-08",
        "status": "A",
        "authorized_official_last_name": "HEALY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "913-220-8907",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Timler, OT
• David P Timler, MD
• Bradley Timmermeyer
• Kara Dawn Tindal, PHARMD
• Joseph Ricks Tingey, DDS
• Christina Tippy, M.D.
• Alisa R Tipton, LSCSW
• Kathryn Tipton, COTA
• Olivia Tipton, LMLP
• Tisha Darland LLC

• Pediatric Dentistry in Wichita, KS
• Providers in Wichita, KS by specialty
• Pediatric Dentistry in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2018; 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.