McBeth DMD PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

D008806 Issued in AZ

Legal business name

MCBETH DMD PLLC

Doing business as

Tooth Club For Kids

Practice address

4025 W Bell Rd Ste 18
Phoenix, AZ 85053-2749

Phone

(623) 748-8225

NPI assigned

Jan 11, 2017

Organization subpart

No

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

Authorized official

Name

Alan McKay Garrett, DMD/PEDODONTIST

Title

Owner/Dentist

Phone

(208) 670-2914

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Tooth Club For Kids Doing business as

Locations

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

{
    "created_epoch": "1484092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484092800000",
    "number": "1801332093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4025 W BELL RD STE 18",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850532749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4025 W BELL RD STE 18",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850532749",
            "telephone_number": "623-748-8225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCBETH DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-11",
        "last_updated": "2017-01-11",
        "status": "A",
        "authorized_official_last_name": "GARRETT",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "MCKAY",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "208-670-2914",
        "authorized_official_credential": "DMD/PEDODONTIST"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AZ",
            "license": "D008806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "864771",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tooth Club For Kids",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ryan J McArthur, CRNA
• McAuley Pediatrics
• Katherine Sophia McAuley, APRN, PMHNP
• Timothy John McAuliffe, O.D.
• Iris S McAvoy, LCSW
• Edith McBrayer
• Ali McBride, PHARMD
• Amanda McBride, M.A.
• Andrew G McBride, M.D.
• Christopher Michael McBride, PSY.D.

• Pediatric Dentistry in Phoenix, AZ
• Providers in Phoenix, 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 11, 2017; 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.