Organization Active NPI

Tooth Kids LLC

  • Pediatric Dentistry
  • Chandler, AZ
National Provider Identifier
1871211672
Registry record updated Aug 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
TOOTH KIDS LLC
Practice address
4055 W Chandler Blvd
Chandler, AZ 85226-3700
Phone
(480) 254-9566
NPI assigned
Aug 17, 2022
Last updated
Aug 17, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2022

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

Authorized official

Name
Dr. J Rockwell Wright, DDSNPI 1770102816
Title
Ceo/ Active Manager
Phone
(480) 254-9566

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

4055 W Chandler Blvd
Chandler, AZ 85226-3700

Mailing address

2747 E University Dr. Box #2399
Mesa, AZ 85213
Phone (480) 254-9566

Other practice location 1

36413 N Gantzel Rd
San Tan Valley, AZ 85140-7337
Phone (480) 254-9566

National Provider Directory

National Provider Directory

Locations

4055 W Chandler Blvd
Chandler, AZ 85226
Phone (480) 254-9566

36413 N Gantzel Rd
San Tan Valley, AZ 85140
Phone (480) 254-9566

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1660694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660694400000",
    "number": "1871211672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2747 E UNIVERSITY DR. BOX #2399",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85213",
            "telephone_number": "480-254-9566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4055 W CHANDLER BLVD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852263700",
            "telephone_number": "480-254-9566"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36413 N Gantzel Rd",
            "address_purpose": "LOCATION",
            "city": "San Tan Valley",
            "state": "AZ",
            "postal_code": "851407337",
            "country_code": "US",
            "telephone_number": "480-254-9566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TOOTH KIDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-17",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "ROCKWELL",
        "authorized_official_title_or_position": "CEO/ ACTIVE MANAGER",
        "authorized_official_telephone_number": "480-254-9566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; 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.