KIDZ R KOOL (NPI# 1336535152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336535152 |
| Entity Type | Organization |
| Organization Name | KIDZ R KOOL |
| Practice Address |
7505 W Deer Valley Rd Suite 110 Peoria AZ 85382-2107 |
| Practice Telephone | 6235725777 |
| Practice Fax Number | 6235727288 |
| Mailing Telephone | 6235725777 |
| Mailing Fax Number | 6235727288 |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2015-04-08 |
| Authorized Official Name | MRS. CELESTE BRENKE (OFFICE MANAGER/OWNER) |
| Authorized Official Telephone | 6235725777 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 390493-004 | 05 |
| Street Address |
7505 W DEER VALLEY RD SUITE 110 |
| City | PEORIA |
| State | AZ |
| Zip Code | 85382-2107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972564326 | William Randol Womack | Dentist | 7505 W Deer Valley Rd, Suite 120, Peoria, AZ 85382-2107 | 2006-03-28 |
| 1063970317 | Mettler Griego Family Dentistry Plcc | Dentist | 7505 W Deer Valley Rd, Peoria, AZ 85382-2107 | 2019-03-06 |
| 1417339334 | Mettler Global Services LLC | Dentist | 7505 W Deer Valley Rd, Suite 100, Peoria, AZ 85382-2107 | 2015-06-27 |
| 1376983510 | Charles J. Gatti D.d.s. P.C. | Dentist | 7505 W Deer Valley Rd, Suite #140, Peoria, AZ 85382-2107 | 2013-07-02 |
| 1881031482 | Christopher Andrew Teeters | Dentist | 7505 W Deer Valley Rd, Peoria, AZ 85382-2107 | 2013-05-23 |
| 1790032233 | Phoenix Sleep Center for Snoring & Sleep Apnea, LLC | Durable Medical Equipment & Medical Supplies | 7505 W Deer Valley Rd, Suite 120b, Peoria, AZ 85382-2107 | 2012-08-14 |
| 1053526566 | Victoria Trinidad Griego | Dentist | 7505 W Deer Valley Rd, Suite 100, Peoria, AZ 85382-2107 | 2007-05-10 |
| 1891909982 | Timothy Marlin Mettler | Dentist | 7505 W Deer Valley Rd, Suite 100, Peoria, AZ 85382-2107 | 2007-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205435146 | Arizona Ot Solutions LLC | Occupational Therapist | 7450 W. Karen Lee Lane, Peoria, AZ 85382 | 2020-10-21 |
| 1497380604 | Idream Psychiatry | Psychiatry & Neurology | 8194 West Deer Valley Rd, 106-516, Peoria, AZ 85382 | 2020-03-08 |
| 1770137648 | Stefan Cseh | Occupational Therapy Assistant | 8765 W Keiton Lane #116, Peona, AZ 85382 | 2019-07-30 |
| 1174177422 | Assyrian Cultural Foundation of Arizona | Homemaker | 9163 West Union Hills Drive, Suite 114 and 115, Peoria, AZ 85382 | 2019-07-25 |
| 1073072765 | Darby Shipman | Physical Therapist | 8685 W. Union Hills Drive, Peoria, AZ 85382 | 2019-03-13 |
| 1811483480 | Kimberly Ann Cochran | Nurse Practitioner | 8194 W Deer Valley Rd Ste 106-516, Peoria, AZ 85382 | 2018-07-07 |
| 1831693514 | Summa Health Care, PC | Family Medicine | 8877 W Union Hills Dr Ste 240, Peoria, AZ 85382 | 2018-03-19 |
| 1497258727 | Nkemdirim Obiora | Nurse Practitioner | 7853 West Lone Cactus Drive, Peoria, AZ 85382 | 2018-03-13 |
| 1851893721 | Alyssa Michelle Bauman | Registered Nurse | 20283 N Lake Pleasant Rd Ste 112, Peoria, AZ 85382 | 2018-03-06 |
| 1043767106 | Jason Mcaddley | Pharmacist | 9425 West Union Hills Drive, Peoria, AZ 85382 | 2016-09-07 |
| Find all providers in zip 85382 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568957199 | Maureen Malingkas | Dentist | 8248 W Deer Valley Rd, Peoria, AZ 85382-2198 | 2018-06-26 |
| 1396186276 | Larry Tyler Jackson | Dentist | 14100 N 83rd Ave, Ste 280, Peoria, AZ 85381-5658 | 2013-07-08 |
| 1942541206 | Robert Dean Matthews | Dentist | 25225 N Lake Pleasant Pkwy Ste 1235, Peoria, AZ 85383-1390 | 2013-03-12 |
| 1609141464 | Kids First Dental Group | Dentist | 7314 N Willow Lake Ct Ste D, Peoria, IL 61614-8289 | 2012-03-13 |
| 1649558578 | Morghan Elizabeth Teeters | Dentist | 7505 W. Deer Valley Rd, Suite 110, Peoria, AZ 85382 | 2011-07-26 |
| 1558656223 | Fatima P. Pimentel | Dentist | 7505 W Deer Valley Rd Ste 110, Peoria, AZ 85382-2107 | 2011-06-10 |
| 1952472276 | Christa Yvette Spates | Dentist | 1320 W Northmoor Rd, Peoria, IL 61614-3470 | 2006-11-10 |
| 1912095126 | Gregory Whelan | Dentist | 9840 W Yearling Rd, #1240, Peoria, AZ 85383-1377 | 2006-10-11 |
| 1629616826 | Morghan E. Teeters Dmd, Pllc | Dentist | 7505 W Deer Valley Rd Ste 110, Peoria, AZ 85382-2107 | 2019-12-18 |
| 1962923359 | Robert D Matthews, Dmd, Pllc | Dentist | 25225 N Lake Pleasant Pkwy Ste 1235, Peoria, AZ 85383-1390 | 2017-07-06 |
| Find all providers in PEORIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.