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HIGLEY VILLAGE KIDTASTIC, LLC
NPI 1447598495
Dentist - Pediatric Dentistry in Gilbert, AZ

Active since January 25, 2013
3303 E QUEEN CREEK RD, SUITE # 106, GILBERT, AZ 85297(480) 648-4037(480) 696-5505 Get Directions Write a Review

NPPES record last updated: December 6, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Higley Village Kidtastic, Llc NPPES

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

HIGLEY VILLAGE KIDTASTIC, LLC (NPI 1447598495) is a healthcare organization registered as a pediatric dentistry in Gilbert, Arizona and active in the NPI registry since January 2013. The organization lists Jaime Johnson, Controller, as its authorized official.

NPPES Registry Identity

NPI1447598495
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameHIGLEY VILLAGE KIDTASTIC, LLC
Location Address3303 E QUEEN CREEK RD, SUITE # 106Gilbert, AZ 85297-8532
Mailing Address4704 E Southern AveMesa, AZ 85206-2737 · (480) 648-4037 · Fax (480) 696-5505
Phone(480) 648-4037
Fax(480) 696-5505
Organization SubpartNo
Authorized OfficialJaime JohnsonController · (480) 648-4037
Enumeration DateJanuary 25, 2013
Last NPPES UpdateDecember 6, 2013
✔ NPI 1447598495 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.
3303 E QUEEN CREEK RD, Gilbert, AZ 85297
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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 Higley Village Kidtastic, LLC's NPI number?

The NPI number for Higley Village Kidtastic, LLC is 1447598495. It was assigned to this organization in the NPPES registry on January 25, 2013.

Where is Higley Village Kidtastic, LLC located?

Higley Village Kidtastic, LLC is located at 3303 E Queen Creek Rd Suite # 106, Gilbert, AZ 85297. The listed phone number is (480) 648-4037.

What is Higley Village Kidtastic, LLC's specialty?

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

What insurance does Higley Village Kidtastic, LLC accept?

Health plans from UnitedHealthcare list Higley Village Kidtastic, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Higley Village Kidtastic, LLC was last updated on December 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.