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ARIZONA PEDIATRIC DENTISTRY AND ORTHODONTIC
NPI 1619021490
Dentist - Pediatric Dentistry in Phoenix, AZ

Active since January 22, 2007
4145 N 108TH AVE, BLDG K-101, PHOENIX, AZ 85037(623) 344-2000(623) 344-2007 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Arizona Pediatric Dentistry And Orthodontic NPPES

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

ARIZONA PEDIATRIC DENTISTRY AND ORTHODONTIC (NPI 1619021490) is a healthcare organization registered as a pediatric dentistry in Phoenix, Arizona and active in the NPI registry since January 2007. The organization lists Shashi M. Kapur, Owner, as its authorized official.

NPPES Registry Identity

NPI1619021490
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameARIZONA PEDIATRIC DENTISTRY AND ORTHODONTIC
Location Address4145 N 108TH AVE, BLDG K-101Phoenix, AZ 85037-5463
Mailing Address4145 N 108th Ave, Bldg K-101Phoenix, AZ 85037-5463 · (623) 344-2000 · Fax (623) 344-2007
Phone(623) 344-2000
Fax(623) 344-2007
Organization SubpartNo
Authorized OfficialShashi M. KapurOwner · (623) 344-2000
Enumeration DateJanuary 22, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1619021490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in AZ · D3801
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.

4145 N 108TH AVE, Phoenix, AZ 85037
Open in Google Maps ↗

Other Identifiers 1

MedicaidF00359AZ

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 DentaQuest Insurance Company, Inc..Insurance ›

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.

DR. HENRY D MARTINEZ D.M.D.
Dentist (Pediatric Dentistry)
4145 N 108TH AVE
PHOENIX, AZ 85037
Maricopa County (623) 344-2000
DR. ALISHA CHADHA DMD
Dentist (Pediatric Dentistry)
4145 N 108TH AVE
PHOENIX, AZ 85037
Maricopa County (623) 344-2000

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 Arizona Pediatric Dentistry And Orthodontic's NPI number?

The NPI number for Arizona Pediatric Dentistry And Orthodontic is 1619021490. It was assigned to this organization in the NPPES registry on January 22, 2007.

Where is Arizona Pediatric Dentistry And Orthodontic located?

Arizona Pediatric Dentistry And Orthodontic is located at 4145 N 108th Ave Bldg K-101, Phoenix, AZ 85037. The listed phone number is (623) 344-2000.

What is Arizona Pediatric Dentistry And Orthodontic's specialty?

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

What insurance does Arizona Pediatric Dentistry And Orthodontic accept?

Health plans from DentaQuest Insurance Company, Inc. list Arizona Pediatric Dentistry And Orthodontic 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 Arizona Pediatric Dentistry And Orthodontic was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.