CHANDLER KIDIATRIC DENTAL (NPI# 1598118713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598118713 |
| Entity Type | Organization |
| Organization Name | CHANDLER KIDIATRIC DENTAL |
| Practice Address |
224 W Chandler Heights Rd Chandler AZ 85248-5072 |
| Practice Telephone | 4803981372 |
| Practice Fax Number | 4803981373 |
| Mailing Telephone | 4803981372 |
| Mailing Fax Number | 4803981373 |
| Enumeration Date | 2016-07-22 |
| Last Update Date | 2016-07-22 |
| Authorized Official Name | DR. WALTER VILLANUEVA (OWNER AND DENTIST) |
| Authorized Official Telephone | 4803981372 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
D07782 | AZ | Dental Providers |
| Street Address |
224 W CHANDLER HEIGHTS RD |
| City | CHANDLER |
| State | AZ |
| Zip Code | 85248-5072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154808749 | Kidiatric Orthodontics Pllc | Dentist | 224 W Chandler Heights Rd, Chandler, AZ 85248-5072 | 2018-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063019669 | Sona Dds PC | Dentist | 10450 E. Riggs Rd. #118, Chandler, AZ 85248 | 2020-10-06 |
| 1629618962 | Danica Lynne Williams | Counselor | 3800 S. Nebraska St., Chandler, AZ 85248 | 2020-01-15 |
| 1346743473 | Kiana Tess Tahiri | Behavioral Analyst | 3952 South Waterfront Drive, Chandler, AZ 85248 | 2018-03-15 |
| 1922508076 | Kaitlyn Christine Jones | Specialist/Technologist | 3700 S Arizona Ave, Chandler, AZ 85248 | 2018-02-15 |
| 1053833038 | Moc Chandler, LLC | Skilled Nursing Facility | 3033 South Arizona Ave., Chandler, AZ 85248 | 2017-07-12 |
| 1881064145 | Sonya Kay Kooima | Nurse Practitioner | 965 W. Chandler Heights Rd., Chandler, AZ 85248 | 2015-09-30 |
| 1215313028 | Taylor Froiland | Pharmacist | 4995 S Alma School Rd Ste 4, Chandler, AZ 85248 | 2015-08-04 |
| 1518380468 | Julie Ybarra | Speech-Language Pathologist | 1500 E.chandler Heights Rd., Chandler, AZ 85248 | 2014-01-29 |
| 1710218326 | Vijay Jain | Dentist | 1445 South Arizona Ave, Suite 1, Chandler, AZ 85248 | 2010-01-21 |
| 1700113156 | Lavon Williams | Registered Nurse | 10440 E. Riggs Road, Suite 207, Chandler, AZ 85248 | 2009-11-05 |
| Find all providers in zip 85248 | ||||
| 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 |
|---|---|---|---|---|
| 1578061925 | Bloom Pediatric Dentistry, Pllc | Dentist | 1900 W Germann Rd Ste 3, Chandler, AZ 85286-6838 | 2018-01-30 |
| 1528426962 | Nezahet Mutlu | Dentist | 600 S Dobson Rd Ste C18, Chandler, AZ 85224-5690 | 2016-01-31 |
| 1285022582 | Kids First Pediatric Dentistry | Dentist | 3220 S Gilbert Rd Ste 1, Chandler, AZ 85286-5109 | 2015-01-08 |
| 1417176199 | Scoresby Pediatric Dental | Dentist | 2095 W Frye Rd Ste 2, Chandler, AZ 85224-6280 | 2007-04-24 |
| 1518031632 | Randy M Weinshel | Dentist | 3220 S Gilbert Rd, Suite 1, Chandler, AZ 85286-5109 | 2006-11-20 |
| 1003375965 | Phamous Smiles Family Dentistry LLC | Dentist | 2470 W Ray Rd Ste 1, Chandler, AZ 85224-3557 | 2019-03-19 |
| 1487826533 | Robert W Scoresby | Dentist | 2095 W Frye Rd, Suite 2, Chandler, AZ 85224 | 2008-03-28 |
| 1174700264 | Tyler Lane Carter | Dentist | 3220 S Gilbert Rd, Suite#1, Chandler, AZ 85286-5109 | 2008-01-30 |
| 1891848958 | Shashi M. Kapur | Dentist | 600 S Dobson Rd, Ste. C-18, Chandler, AZ 85224-5678 | 2007-01-19 |
| 1083770614 | Shashi Mohan Kapur | Dentist | 600 S Dobson Rd, Chandler, AZ 85224 | 2006-12-28 |
| Find all providers in CHANDLER | ||||
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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.