Organization Active NPI

Dawnie L. Kildoo PA

  • General Practice Dentistry
  • Green Valley, AZ
National Provider Identifier
1942501390
Registry record updated Nov 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5331 Issued in AZ
Legal business name
DAWNIE L. KILDOO PA
Practice address
267 W Duval Rd
Suite 105
Green Valley, AZ 85614-4344
Phone
(520) 625-0131
Fax
(520) 625-6998
NPI assigned
Nov 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2010

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

Authorized official

Name
Dr. Dawnie L Kildoo, D.D.S.
Title
President
Phone
(520) 625-0130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5331 AZ Primary

Addresses

Primary practice location

267 W Duval Rd
Suite 105
Green Valley, AZ 85614-4344

Mailing address

267 W Duval Rd
Suite 105
Green Valley, AZ 85614-4344
Phone (520) 625-0131

National Provider Directory

National Provider Directory

Locations

267 W Duval Rd
Ste 105
Green Valley, AZ 85614
Phone (520) 204-5351

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": "1289865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289865600000",
    "number": "1942501390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 W DUVAL RD",
            "address_2": "SUITE 105",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856144344",
            "telephone_number": "520-625-0131",
            "fax_number": "520-625-6998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 W DUVAL RD",
            "address_2": "SUITE 105",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856144344",
            "telephone_number": "520-625-0131",
            "fax_number": "520-625-6998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAWNIE L. KILDOO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-16",
        "last_updated": "2010-11-16",
        "status": "A",
        "authorized_official_last_name": "KILDOO",
        "authorized_official_first_name": "DAWNIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-625-0130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "5331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; 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.