Just for Kids Dentistry Kingman PLLC

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

D6061 Issued in AZ

Legal business name

JUST FOR KIDS DENTISTRY KINGMAN PLLC

Practice address

2401 Stockton Hill Rd
Ste 1
Kingman, AZ 86401-4189

Phone

(928) 718-7188

Fax

(928) 718-7189

NPI assigned

Jul 7, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Ronald Anthony Dicarlo II, DMD

Title

President Owner

Phone

(928) 718-7188

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215388800000",
    "number": "1851554240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 STOCKTON HILL RD",
            "address_2": "STE 1",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "86401",
            "telephone_number": "928-718-7188",
            "fax_number": "928-718-7189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 STOCKTON HILL RD",
            "address_2": "STE 1",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864014189",
            "telephone_number": "928-718-7188",
            "fax_number": "928-718-7189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUST FOR KIDS DENTISTRY KINGMAN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-07",
        "last_updated": "2008-07-07",
        "status": "A",
        "authorized_official_last_name": "DICARLO",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "928-718-7188",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "AZ",
            "license": "D6061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "983470",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyssa Johnston
• Jon C Schwartz MD PC
• Jose Gochoco DO PLLC (Express Medical Care)
• Alie Riad Jreisat, MD
• Just for Kids Dental Group Kingman, PLLC (Just For Kid Dentistry)
• Just for Kids General Dentistry, PC
• Arulasanam Paul Kalanithi, MD
• Kamyab
• Jeremy Harris Kaplan, M.D
• Heather Kash, M.S.

• Exclusive Provider Organization in Kingman, AZ
• Providers in Kingman, AZ by specialty
• Exclusive Provider Organization in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; 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.