NPIMap

Organization Active NPI

Care for Kids of Arizona, LLC

Doing business as Arizona's Tooth Doctor for Kids

  • Dental Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1972823888
Registry record updated Jun 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
F316 Issued in AZ
Legal business name
CARE FOR KIDS OF ARIZONA, LLC
Doing business as
Arizona's Tooth Doctor for Kids
Practice address
3301 E Thomas Rd
Phoenix, AZ 85018-7302
Phone
(602) 956-4411
Fax
(602) 956-8877
NPI assigned
Jun 3, 2010
Last updated
Jun 3, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2010

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

Authorized official

Name
Mr. Michael Hull, DDSNPI 1881604981
Title
Lead Doctor
Phone
(623) 245-8461

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X F316 AZ Primary

Addresses

Primary practice location

3301 E Thomas Rd
Phoenix, AZ 85018-7302

Mailing address

2330 N Alma School Rd Ste 100
Chandler, AZ 85224-2490
Phone (480) 388-3222

Other identifiers 1

IdentifierTypeStateIssuer
240871OtherAZAHCCCS

Other names 1

  • Arizona's Tooth Doctor for Kids Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Care for Kids of Arizona LLC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

2330 N Alma School Rd
Ste 100
Chandler, AZ 85224

3301 E Thomas Rd
Phoenix, AZ 85018
Phone (602) 885-7535

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275523200000",
    "number": "1972823888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 N ALMA SCHOOL RD STE 100",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852242490",
            "telephone_number": "480-388-3222",
            "fax_number": "480-776-6810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 E THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850187302",
            "telephone_number": "602-956-4411",
            "fax_number": "602-956-8877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE FOR KIDS OF ARIZONA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-03",
        "last_updated": "2010-06-03",
        "status": "A",
        "authorized_official_last_name": "HULL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "LEAD DOCTOR",
        "authorized_official_telephone_number": "623-245-8461",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AZ",
            "license": "F316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "240871",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arizona's Tooth Doctor for Kids",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.