NPIMap

Organization Active NPI

Heartland Dental Care of Arizona, PC

Doing business as Smile Today

  • General Practice Dentistry
  • Peoria, AZ
National Provider Identifier
1811223373
Registry record updated Oct 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
HEARTLAND DENTAL CARE OF ARIZONA, PC
Doing business as
Smile Today
Practice address
10144 W Lake Pleasant Pkwy Ste 11
Peoria, AZ 85382-9716
Phone
(623) 825-3696
Fax
(623) 825-3695
NPI assigned
Oct 19, 2009
Last updated
Oct 19, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
HEARTLAND DENTAL CARE OF ARIZONA, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 19, 2009

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

Authorized official

Name
Kam Shick
Title
Insurance Coordinator
Phone
(217) 540-5141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

10144 W Lake Pleasant Pkwy Ste 11
Peoria, AZ 85382-9716

Mailing address

10144 W Lake Pleasant Pkwy Ste 11
Peoria, AZ 85382-9716
Phone (623) 825-3696

Other names 1

  • Smile Today Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Heartland Detnal Care of Arizona PC63 organizations share this tax ID, including this one
Part of
Heartland Detnal Care of Arizona PC

Organizations with this tax ID in the same state 22

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 22

Locations

10144 W Lake Pleasant Pkwy
Ste 11
Peoria, AZ 85382
Phone (623) 825-3696

NPI Registry JSON

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

{
    "created_epoch": "1255910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255910400000",
    "number": "1811223373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10144 W LAKE PLEASANT PKWY STE 11",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853829716",
            "telephone_number": "623-825-3696",
            "fax_number": "623-825-3695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10144 W LAKE PLEASANT PKWY STE 11",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853829716",
            "telephone_number": "623-825-3696",
            "fax_number": "623-825-3695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND DENTAL CARE OF ARIZONA, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEARTLAND DENTAL CARE OF ARIZONA, PC",
        "enumeration_date": "2009-10-19",
        "last_updated": "2009-10-19",
        "status": "A",
        "authorized_official_last_name": "SHICK",
        "authorized_official_first_name": "KAM",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "217-540-5141"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Today",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2009; 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.