KIDS GRINS-QUEEN CREEK
NPI 1184347833
Dentist - Pediatric Dentistry in Queen Creek, AZ

Active since September 19, 2022
20261 E OCOTILLO RD STE 130, QUEEN CREEK, AZ 85142(480) 284-6630(480) 590-4436 Get Directions Write a Review

NPPES record last updated: September 27, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 27, 2022, Sep 19, 2022 (2 updates tracked since 2022).

About Kids Grins-queen Creek NPPES

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

KIDS GRINS-QUEEN CREEK (NPI 1184347833) is a healthcare organization registered as a pediatric dentistry in Queen Creek, Arizona and active in the NPI registry since September 2022. The organization lists Tessa Baughn, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1184347833
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameKIDS GRINS-QUEEN CREEK
Location Address20261 E OCOTILLO RD STE 130Queen Creek, AZ 85142-8806
Mailing Address20261 E Ocotillo Rd Ste 130Queen Creek, AZ 85142-8806 · Fax (480) 590-4436
Fax(480) 590-4436
Organization SubpartYesParent: John W. Taylor, Dds, Pllc
Authorized OfficialTessa BaughnOffice Manager · (480) 284-6630
Enumeration DateSeptember 19, 2022
Last NPPES UpdateSeptember 27, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2022
NPI 1184347833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
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.

20261 E OCOTILLO RD STE 130, Queen Creek, AZ 85142

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 2

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

Clinic/Center (Dental)
20261 E OCOTILLO RD STE 130
QUEEN CREEK, AZ 85142
Dentist (Orthodontics and Dentofacial Orthopedics)
20261 E OCOTILLO RD STE 130
QUEEN CREEK, AZ 85142

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 Kids Grins-Queen Creek's NPI number?

The NPI number for Kids Grins-Queen Creek is 1184347833. It was assigned to this organization in the NPPES registry on September 19, 2022.

Where is Kids Grins-Queen Creek located?

Kids Grins-Queen Creek is located at 20261 E Ocotillo Rd Ste 130, Queen Creek, AZ 85142. The listed phone number is (480) 284-6630.

What is Kids Grins-Queen Creek'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 Kids Grins-Queen Creek was last updated on September 27, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.