Carmichael Pediatric Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

D7460 Issued in AZ

Legal business name

CARMICHAEL PEDIATRIC DENTISTRY

Practice address

3592 S Atherton Blvd
Ste #107
Gilbert, AZ 85297-7443

Phone

(480) 889-1877

Fax

(480) 889-1876

NPI assigned

Jan 23, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Lonny Carmichael, DDS

Title

Owner/DDS

Phone

(480) 889-1877

Specialties & licenses 3

Addresses

Other names 1

• Little Tykes Pediatric Dentistry Doing business as

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

{
    "created_epoch": "1327276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327276800000",
    "number": "1780955716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3592 S ATHERTON BLVD",
            "address_2": "STE #107",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852977443",
            "telephone_number": "480-889-1877",
            "fax_number": "480-889-1876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3592 S ATHERTON BLVD",
            "address_2": "STE #107",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852977443",
            "telephone_number": "480-889-1877",
            "fax_number": "480-889-1876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARMICHAEL PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-23",
        "last_updated": "2012-01-23",
        "status": "A",
        "authorized_official_last_name": "CARMICHAEL",
        "authorized_official_first_name": "LONNY",
        "authorized_official_title_or_position": "OWNER/DDS",
        "authorized_official_telephone_number": "480-889-1877",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AZ",
            "license": "D7460",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AZ",
            "license": "D7989",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AZ",
            "license": "D7727",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Little Tykes Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer K Carlson, PHD
• Lucas Carlson
• Michelle Anne Carlson, SLPA LICENSE
• Anne Means Carlsson, MS, OTR/L
• Corinne Carlton
• Lonny D Carmichael, DDS
• Melissa Carmiencke
• Shilo Carnahan
• M Carney
• Nicole Theresa Carney, MA, BCBA, LBA

• 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 Jan 23, 2012; 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.