Organization Active NPI

Maricopa Smiles, LLC

  • Dental Clinic/Center
  • Maricopa, AZ
National Provider Identifier
1922575018
Registry record updated Oct 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
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

Updated by the provider on Oct 27, 2018

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

Authorized official

Name
Tin Nguyen, DDSNPI 1871517961
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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.