NPIMap

Organization Active NPI

Children's Dental Village, P.C.

Doing business as Children's Dental Village

  • Pediatric Dentistry
  • Tempe, AZ
National Provider Identifier
1922177948
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
CHILDREN'S DENTAL VILLAGE, P.C.
Doing business as
Children's Dental Village
Practice address
7360 S McClintock Dr
Tempe, AZ 85283-5001
Phone
(480) 838-6949
Fax
(480) 838-0092
NPI assigned
Nov 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Beverly A Adams
Title
Coo
Phone
(480) 838-6949

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

7360 S McClintock Dr
Tempe, AZ 85283-5001

Mailing address

7360 S McClintock Dr
Tempe, AZ 85283-5001
Phone (480) 838-6949

Other names 1

  • Children's Dental Village Doing business as

National Provider Directory

National Provider Directory

Locations

7360 S McClintock Dr
Tempe, AZ 85283
Phone (480) 838-6949

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922177948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7360 S MCCLINTOCK DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852835001",
            "telephone_number": "480-838-6949",
            "fax_number": "480-838-0092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7360 S MCCLINTOCK DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852835001",
            "telephone_number": "480-838-6949",
            "fax_number": "480-838-0092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S DENTAL VILLAGE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "480-838-6949",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Dental Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.