Bluebird Pediatric Dentistry PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

BLUEBIRD PEDIATRIC DENTISTRY PLLC

Practice address

1520 W Warner Rd Ste 110
Gilbert, AZ 85233-7043

Phone

(615) 410-8669

NPI assigned

Apr 19, 2022

Organization subpart

No

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

Authorized official

Name

Arlene Kewallal, DDSNPI 1548654791

Title

Pediatric Dentist

Phone

(615) 410-8669

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Arlene Lora Nadira Kewallal, DDS

  • Pediatric Dentistry
  • Gilbert, AZ
  • NPI 1548654791
  NPD Authorized official

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

{
    "created_epoch": "1650326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650326400000",
    "number": "1760125504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 N CENTRAL AVE APT 3189",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 W WARNER RD STE 110",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852337043",
            "telephone_number": "615-410-8669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEBIRD PEDIATRIC DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-19",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A",
        "authorized_official_last_name": "KEWALLAL",
        "authorized_official_first_name": "ARLENE",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "615-410-8669",
        "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": []
}

• Blue Sage Wellness, LLC
• Blue Skyes Wellness Center LLC
• Blue Sprig Pediatrics
• Blue Water Psychiatry
• Blue Waters Therapy and Wellness LLC
• Bluedot Dental, LLC
• Cooper A Blum
• BM Global Healthcare Services LLC
• BNB, LLC
• David Boakye Danquah

• Pediatric Dentistry in Gilbert, AZ
• Providers in Gilbert, 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 19, 2022; 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.