NPIMap

Organization Active NPI

Highbury Dental Management, LLC

Doing business as Island Pediatric Dentistry

  • Public Health Dentistry
  • Gilbert, AZ
National Provider Identifier
1962091454
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
Legal business name
HIGHBURY DENTAL MANAGEMENT, LLC
Doing business as
Island Pediatric Dentistry
Practice address
1425 W Elliot Rd Ste 101
Gilbert, AZ 85233-5141
Phone
(602) 536-7072
NPI assigned
Jan 11, 2021
Organization subpart
Yes
Parent organization
HIGHBURY DENTAL MANAGEMENT, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Authorized official

Name
Kushboo Kumar
Title
Credentialing Supervisor
Phone
(916) 877-7450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223D0001X Primary

Addresses

Primary practice location

1425 W Elliot Rd Ste 101
Gilbert, AZ 85233-5141

Mailing address

1425 W Elliot Rd Ste 101
Gilbert, AZ 85233-5141
Phone (602) 491-1818

Other names 1

  • Island Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Highbury Dental Management LLC6 organizations share this tax ID, including this one
Part of
Highbury Dental Management LLC

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1425 W Elliot Rd
Ste 101
Gilbert, AZ 85233
Phone (602) 491-1818

Practitioners & affiliated clinicians

Practitioners 5

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": "1610323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781136000000",
    "number": "1962091454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 W ELLIOT RD STE 101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852335141",
            "telephone_number": "602-491-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 W ELLIOT RD STE 101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852335141",
            "telephone_number": "602-536-7072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHBURY DENTAL MANAGEMENT, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HIGHBURY DENTAL MANAGEMENT, LLC",
        "enumeration_date": "2021-01-11",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "KUSHBOO",
        "authorized_official_title_or_position": "CREDENTIALING SUPERVISOR",
        "authorized_official_telephone_number": "916-877-7450"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Island Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; 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.