San Tan Ranch Smiles LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SAN TAN RANCH SMILES LLC

Practice address

3592 S Atherton Blvd
Suite 112
Gilbert, AZ 85297-7443

Phone

(480) 457-8600

NPI assigned

Apr 29, 2008

Last updated

Oct 12, 2016By 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

Mrs. Kimberly McCrady

Title

Owner

Phone

(480) 292-3598

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Randall Howard Monroe, DDS

  • General Practice Dentistry
  • Tempe, AZ
  • NPI 1366599656
  NPD (past)
• Ryan Joseph Porter, DDS

  • General Practice Dentistry
  • Provo, UT
  • NPI 1083763668
  NPD (past)

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476230400000",
    "number": "1770758765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3592 S ATHERTON BLVD",
            "address_2": "SUITE 112",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852977443",
            "telephone_number": "480-457-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3592 S ATHERTON BLVD",
            "address_2": "SUITE 112",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852977443",
            "telephone_number": "480-457-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN TAN RANCH SMILES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2016-10-12",
        "status": "A",
        "authorized_official_last_name": "MCCRADY",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-292-3598",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• San Tan Eyecare PLC
• San Tan Family Medicine PC (Ronald J Lee MD)
• San Tan Mountain Pediatrics PLC
• San Tan Oral Surgery
• San Tan Perinatal
• San Tan Village Eye Care LLC
• Karla Sanchez Estudillo
• Alisha Sanchez
• Donald Joseph Sanchez, D.D.S., M.S.
• Emily Romney Sanchez, LMSW

• General Practice Dentistry in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2016; 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.