Organization Active NPI

Smile Today Arrowhead, LLC

  • General Practice Dentistry
  • Glendale, AZ
National Provider Identifier
1912372665
Registry record updated Dec 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8070 Issued in AZ
Legal business name
SMILE TODAY ARROWHEAD, LLC
Practice address
6120 W Bell Rd
Suite #180
Glendale, AZ 85308-3781
Phone
(602) 298-7200
Fax
(602) 298-7202
NPI assigned
Dec 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2015

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

Authorized official

Name
Kyle J Hush, DDS
Title
Owner
Phone
(480) 889-9457

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 8070 AZ Primary

Addresses

Primary practice location

6120 W Bell Rd
Suite #180
Glendale, AZ 85308-3781

Mailing address

4435 E Holmes Ave
Suite #200
Mesa, AZ 85206-3372
Phone (480) 889-9457

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1449446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449446400000",
    "number": "1912372665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4435 E HOLMES AVE",
            "address_2": "SUITE #200",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852063372",
            "telephone_number": "480-889-9457",
            "fax_number": "480-696-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6120 W BELL RD",
            "address_2": "SUITE #180",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853083781",
            "telephone_number": "602-298-7200",
            "fax_number": "602-298-7202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE TODAY ARROWHEAD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-07",
        "last_updated": "2015-12-07",
        "status": "A",
        "authorized_official_last_name": "HUSH",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-889-9457",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "8070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2015; 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.