Super Smiles for Kids, LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

07288 Issued in AZ

Legal business name

SUPER SMILES FOR KIDS, LLC

Practice address

1285 E Sunset Dr
Casa Grande, AZ 85122-2942

Phone

(520) 442-0332

NPI assigned

Jan 14, 2016

Last updated

Apr 3, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dora Pesqueda

Title

Director/ Member

Phone

(520) 442-0332

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Rosenberg Delgado, RDH AP

  • Dental Hygienist
  • Casa Grande, AZ
  • NPI 1689515173
  NPD (past)
• Troy Richins, DDS

  • Dentist
  • Chandler, AZ
  • NPI 1841543287
  NPD (past)
• Mariah Taylor, RDH AP

  • Dental Hygienist
  • Casa Grande, AZ
  • NPI 1144083759
  NPD (past)

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

{
    "created_epoch": "1452729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775174400000",
    "number": "1750747150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1285 E SUNSET DR",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851222942",
            "telephone_number": "520-442-0332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1285 E SUNSET DR",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851222942",
            "telephone_number": "520-442-0332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21116 N John Wayne Pkwy Ste B7",
            "address_purpose": "LOCATION",
            "city": "Maricopa",
            "state": "AZ",
            "postal_code": "851392932",
            "country_code": "US",
            "telephone_number": "520-568-1551",
            "fax_number": "520-423-3912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUPER SMILES FOR KIDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-14",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A",
        "authorized_official_last_name": "PESQUEDA",
        "authorized_official_first_name": "DORA",
        "authorized_official_title_or_position": "DIRECTOR/ MEMBER",
        "authorized_official_telephone_number": "520-442-0332"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AZ",
            "license": "07288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "098601",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sun Valley Physical Medicine and Rehabilitation
• Sunlight Forever Family
• Sunny Side Group Home LLC
• Sunshine Child & Adolescent Care, Inc.
• Super Smiles 4 Kids CG, PLLC (Super Smiles 4 Families)
• Suresh Balenalli, PLLC (Pinnacle Health Center)
• Surgical Specialties of Casa Grande (The Surgery Center of Casa Grande)
• Hayley Michele Swain, RN
• Syangi Healthcare LLC
• Syangi Healthcare LLC

• Pediatric Dentistry in Casa Grande, AZ
• Providers in Casa Grande, AZ by specialty
• Pediatric Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2026; 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.