Kids Orthodontics Elick Dental Group

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KIDS ORTHODONTICS ELICK DENTAL GROUP

Practice address

833 Greenfield Ave Ste 103
Hanford, CA 93230-3673

Phone

(559) 582-3460

NPI assigned

Mar 16, 2023

Organization subpart

No

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

Authorized official

Name

Tammy Beck

Title

Manager

Phone

(559) 582-3460

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1678924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680480000000",
    "number": "1700587607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 GREENFIELD AVE STE 103",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932303673",
            "telephone_number": "559-582-3460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 GREENFIELD AVE STE 103",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932303673",
            "telephone_number": "559-582-3460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS ORTHODONTICS ELICK DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-16",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A",
        "authorized_official_last_name": "BECK",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "559-582-3460"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Kenison
• Kerry'S Medical Inc
• Abraham J Khan, MD
• Nasiruddin Ali Khan, O.D.
• Sana Khan, MD
• Hae-Jung Kim, D.D.S
• Katherine Kim
• Timothy Kim, DMD
• Kindred Care Health and Wellness
• King County Health Dept

• General Practice Dentistry in Hanford, CA
• Providers in Hanford, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; 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.