IKIDS PEDIATRIC DENTISTRY, PC
NPI 1043442387
Dentist - Pediatric Dentistry in Mansfield, TX

Active since August 20, 2009
1756 BROAD PARK CIR N STE 100, MANSFIELD, TX 76063(817) 453-2800(817) 453-2825 Get Directions Write a Review

NPPES record last updated: March 4, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 4, 2021, Aug 15, 2018 (2 updates tracked since 2018).

About Ikids Pediatric Dentistry, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IKIDS PEDIATRIC DENTISTRY, PC (NPI 1043442387) is a healthcare organization registered as a pediatric dentistry in Mansfield, Texas and active in the NPI registry since August 2009. The organization lists Alyssa Aguilar, Director Of Revenue & Credentialing, as its authorized official.

NPPES Registry Identity

NPI1043442387
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameIKIDS PEDIATRIC DENTISTRY, PC
Location Address1756 BROAD PARK CIR N STE 100Mansfield, TX 76063
Mailing Address2500 E Broad St Ste 204Mansfield, TX 76063-4361 · (817) 466-8554
Fax(817) 453-2825
Organization SubpartNo
Authorized OfficialAlyssa AguilarDirector Of Revenue & Credentialing · (817) 466-8554
Enumeration DateAugust 20, 2009
Last NPPES UpdateMarch 4, 20212 updates tracked since enumeration
NPPES CertifiedMarch 4, 2021
NPI 1043442387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in TX · 24272
Definition
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.
1756 BROAD PARK CIR N STE 100, Mansfield, TX 76063

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Pediatric Dentistry)
1756 BROAD PARK CIR N STE 100
MANSFIELD, TX 76063

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ikids Pediatric Dentistry, PC's NPI number?

The NPI number for Ikids Pediatric Dentistry, PC is 1043442387. It was assigned to this organization in the NPPES registry on August 20, 2009.

Where is Ikids Pediatric Dentistry, PC located?

Ikids Pediatric Dentistry, PC is located at 1756 Broad Park Cir N Ste 100, Mansfield, TX 76063. The listed phone number is (817) 453-2800.

What is Ikids Pediatric Dentistry, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Ikids Pediatric Dentistry, PC was last updated on March 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.