Active NPI
Maricopa Smiles, LLC
- Dental Clinic/Center
- Maricopa, AZ
National Provider Identifier
1922575018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- MARICOPA SMILES, LLC
- Doing business as
- Smiley Dental
- Practice address
- 20917 N John Wayne Pkwy Ste A105
Maricopa, AZ 85139-2918 - Phone
- (833) 793-7773
- Fax
- (520) 442-1488
- NPI assigned
- Oct 27, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tin Nguyen, DDS
- Title
- Dentist/Owner
- Phone
- (833) 793-7773
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
20917 N John Wayne Pkwy Ste A105
Maricopa, AZ 85139-2918
Mailing address
20917 N John Wayne Pkwy Ste A105
Maricopa, AZ 85139-2918
Phone (833) 793-7773
Other names 1
- Smiley Dental
National Provider Directory
National Provider DirectoryLocations
20917 N John Wayne Pkwy
Ste A105
Maricopa, AZ 85139
Phone (833) 793-7773
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Maricopa, AZ
- NPI 1871517961
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540598400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1540598400000",
"number": "1922575018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20917 N JOHN WAYNE PKWY STE A105",
"city": "MARICOPA",
"state": "AZ",
"postal_code": "851392918",
"telephone_number": "833-793-7773",
"fax_number": "520-442-1488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20917 N JOHN WAYNE PKWY STE A105",
"city": "MARICOPA",
"state": "AZ",
"postal_code": "851392918",
"telephone_number": "833-793-7773",
"fax_number": "520-442-1488"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARICOPA SMILES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-27",
"last_updated": "2018-10-27",
"status": "A",
"authorized_official_last_name": "NGUYEN",
"authorized_official_first_name": "TIN",
"authorized_official_title_or_position": "DENTIST/OWNER",
"authorized_official_telephone_number": "833-793-7773",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Smiley Dental",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Maricopa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.