SANTAN KIDTASTICS
NPI 1669726030
Dentist - Pediatric Dentistry in San Tan Valley, AZ

Active since November 06, 2012
2510 E HUNT HWY STE 29, SAN TAN VALLEY, AZ 85143(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: July 26, 2026.

About Santan Kidtastics NPPES

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

SANTAN KIDTASTICS (NPI 1669726030) is a healthcare organization registered as a pediatric dentistry in San Tan Valley, Arizona and active in the NPI registry since November 2012. The organization lists Jaime Johnson, Controll, as its authorized official.

NPPES Registry Identity

NPI1669726030
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameSANTAN KIDTASTIC LLC
Location Address2510 E HUNT HWY STE 29San Tan Valley, AZ 85143-5208
Mailing Address4704 E Southern AveMesa, AZ 85206-2737 · (480) 648-4037 · Fax (480) 696-5505
Fax(480) 696-5505
Organization SubpartNo
Authorized OfficialJaime JohnsonControll · (480) 648-4037
Enumeration DateNovember 6, 2012
Last NPPES UpdateDecember 6, 2013
NPI 1669726030 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.

2510 E HUNT HWY STE 29, San Tan Valley, AZ 85143

Other Names 1

Doing Business AsSantan Kidtastics

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 3

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

Dentist (Pediatric Dentistry)
2510 E HUNT HWY STE 29
SAN TAN VALLEY, AZ 85143
Dentist (Pediatric Dentistry)
2510 E HUNT HWY STE 29
SAN TAN VALLEY, AZ 85143
Dentist
2510 E HUNT HWY STE 29
QUEEN CREEK, AZ 85143

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 Santan Kidtastic LLC's NPI number?

The NPI number for Santan Kidtastic LLC is 1669726030. It was assigned to this organization in the NPPES registry on November 6, 2012. The provider is doing business as Santan Kidtastics.

Where is Santan Kidtastic LLC located?

Santan Kidtastic LLC is located at 2510 E Hunt Hwy Ste 29, San Tan Valley, AZ 85143. The listed phone number is (480) 648-4037.

What is Santan Kidtastic LLC'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 Santan Kidtastic LLC was last updated on December 6, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.