IKIDS PEDIATRIC DENTISTRY ARLINGTON (NPI# 1700168192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700168192 |
| Entity Type | Organization |
| Organization Name | IKIDS PEDIATRIC DENTISTRY ARLINGTON |
| Other Organization Name | WEECARE |
| Practice Address |
3801 S Cooper St Ste 109 Arlington TX 76015 |
| Mailing Address |
2500 E Broad St Ste 104 Mansfield TX 76063-4181 |
| Practice Telephone | 8174679089 |
| Practice Fax Number | 8174729008 |
| Mailing Telephone | 8174668554 |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2018-08-15 |
| Authorized Official Name | ALYSSA AGUILAR (DIRECTOR OF REVENUE & CREDENTIALING) |
| Authorized Official Telephone | 8174668554 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
24272 | TX | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 200886402 | 05 | |
| TX | 200886403 | 05 | |
| TX | 200886404 | 05 | |
| TX | 200886401 | 05 |
| Other Name | Type Code |
|---|---|
| WeeCare | Doing Business As Name - Organization |
| Street Address |
3801 S COOPER ST STE 109 |
| City | ARLINGTON |
| State | TX |
| Zip Code | 76015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699153536 | Terry Christopher Meads Jr. | Dentist | 3801 S Cooper St Ste 109, Arlington, TX 76015-4132 | 2015-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407358955 | Shavon Ohiomu | Licensed Vocational Nurse | 3402 Timberwood Circle Apt 2130, Arlington, TX 76015 | 2018-03-01 |
| 1194235580 | In Balance In Control, L.L.C. | Massage Therapist | 1402 W Mayfield Rd, Suite 420, Arlington, TX 76015 | 2017-10-11 |
| 1063922458 | Kenneth Eugene Frey II | Massage Therapist | 1402 West Mayfield Road, Suite 420, Arlington, TX 76015 | 2017-10-11 |
| 1285181263 | U S Anesthesia Partners of Texas, Pa | Nurse Practitioner | 800 W Arbrook, Suite 120, Arlington, TX 76015 | 2016-09-07 |
| 1659739365 | Danika Rasmussengeter | Chiropractor | 1216 Florida Dr # 130, Arlington, TX 76015 | 2016-02-09 |
| 1962809541 | Texas Rehabilitation Hospital of Arlington, LLC | Rehabilitation Hospital | 900 West Arbrook Blvd, Arlington, TX 76015 | 2014-11-26 |
| 1528470473 | Felicia Montgomery | Doula | 3903 Melear Drive, Unit 151681, Arlington, TX 76015 | 2014-05-27 |
| 1437572427 | E.s. Drugs Inc. | Pharmacy | 3295 S. Cooper Street #107, Arlington, TX 76015 | 2014-01-27 |
| 1477802890 | James Tra | Pharmacist | 1600 West Arbrook Blvd, Arlington, TX 76015 | 2012-08-30 |
| 1225397912 | Apsp-arlington, LLC | Clinical Medical Laboratory | 1348 W. Mayfield Road, Suite 200, Arlington, TX 76015 | 2012-05-15 |
| Find all providers in zip 76015 | ||||
| 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 |
|---|---|---|---|---|
| 1982022745 | Gharraph,pc | Dentist | 3851 Sw Green Oak Blvd, 123, Arlington, TX 76017-4130 | 2014-03-30 |
| 1063786705 | Jennifer P. Ketchel, Dds, Ms, Pa | Dentist | 7410 S Cooper St Ste 100, Arlington, TX 76001-7025 | 2012-02-27 |
| 1245527886 | Eva K Swenson | Dentist | 2250 Clarendon Blvd. Apt. 1212, Arlington, VA 22201 | 2011-07-04 |
| 1043510282 | Fidel Dental Group | Dentist | 5500 Columbia Pike, Suite A, Arlington, VA 22204 | 2010-10-21 |
| 1881858264 | Stephanie Marie Ferguson | Dentist | 3602 Matlock Rd Ste 208, Arlington, TX 76015-3600 | 2008-07-15 |
| 1902090517 | Michelle R. Lindsay, Dds, Pa | Dentist | 478 Lincoln Sq, Arlington, TX 76011-4893 | 2007-08-28 |
| 1750435988 | Jose Fernando Ochoa-grijalva | Dentist | 3801 S Cooper St, Suite 109, Arlington, TX 76015-4132 | 2007-01-23 |
| 1629125489 | John Brian Witte | Dentist | 3035 Matlock Rd, Arlington, TX 76015-2902 | 2007-01-04 |
| 1457414211 | Michelle R. Lindsay | Dentist | 1000 N Fielder Rd, Arlington, TX 76012-3149 | 2006-12-19 |
| 1306953906 | Drs. Hyde, Bailey & Miller Ptr.-north | Dentist | 696 N Fielder Rd, Suite 102, Arlington, TX 76012-3803 | 2006-08-23 |
| Find all providers in ARLINGTON | ||||
Please comment or provide details below to improve the information on IKIDS PEDIATRIC DENTISTRY ARLINGTON.
| 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.