NPIMap

Organization Active NPI

Southwest Kids Dentistry PLLC

  • Pediatric Dentistry
  • Tucson, AZ
National Provider Identifier
1740673268
Registry record updated Jun 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
D008688 Issued in AZ
Legal business name
SOUTHWEST KIDS DENTISTRY PLLC
Practice address
6970 N Oracle Rd
Suite 110
Tucson, AZ 85704-4237
Phone
(520) 775-1245
Fax
(520) 775-1246
NPI assigned
Mar 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2015

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

Authorized official

Name
Kyla Hollen, DMDNPI 1700190626
Title
Owner
Phone
(520) 775-1245

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X D008688 AZ Primary

Addresses

Primary practice location

6970 N Oracle Rd
Suite 110
Tucson, AZ 85704-4237

Mailing address

PO Box 35308
Tucson, AZ 85740-5308
Phone (541) 961-2618

National Provider Directory

National Provider Directory

Locations

6970 N Oracle Rd
Ste 110
Tucson, AZ 85704
Phone (520) 775-1245

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1425859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433289600000",
    "number": "1740673268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35308",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857405308",
            "telephone_number": "541-961-2618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6970 N ORACLE RD",
            "address_2": "SUITE 110",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857044237",
            "telephone_number": "520-775-1245",
            "fax_number": "520-775-1246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST KIDS DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-09",
        "last_updated": "2015-06-03",
        "status": "A",
        "authorized_official_last_name": "HOLLEN",
        "authorized_official_first_name": "KYLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-775-1245",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AZ",
            "license": "D008688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; 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.