SUPER SMILES MARICOPA PLLC
NPI 1891556502
Dentist - Pediatric Dentistry in Maricopa, AZ

Active since January 19, 2024
21116 N JOHN WAYNE PKWY STE B7, MARICOPA, AZ 85139(520) 568-3828(520) 568-0443 Get Directions Write a Review

NPPES record last updated: January 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Super Smiles Maricopa Pllc NPPES

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

SUPER SMILES MARICOPA PLLC (NPI 1891556502) is a healthcare organization registered as a pediatric dentistry in Maricopa, Arizona and active in the NPI registry since January 2024. The organization lists Nikita Kuppanda, Dds/ Owner, as its authorized official.

NPPES Registry Identity

NPI1891556502
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameSUPER SMILES MARICOPA PLLC
Location Address21116 N JOHN WAYNE PKWY STE B7Maricopa, AZ 85139-2932
Mailing Address21116 N John Wayne Pkwy Ste B7Maricopa, AZ 85139-2932 · (520) 568-3828 · Fax (520) 568-0443
Fax(520) 568-0443
Organization SubpartNo
Authorized OfficialNikita KuppandaDds/ Owner · (520) 568-3828
Enumeration DateJanuary 19, 2024
NPPES CertifiedJanuary 19, 2024
NPI 1891556502 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.
21116 N JOHN WAYNE PKWY STE B7, Maricopa, AZ 85139

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

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)
21116 N JOHN WAYNE PKWY STE B7
MARICOPA, AZ 85139

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 Super Smiles Maricopa PLLC's NPI number?

The NPI number for Super Smiles Maricopa PLLC is 1891556502. It was assigned to this organization in the NPPES registry on January 19, 2024.

Where is Super Smiles Maricopa PLLC located?

Super Smiles Maricopa PLLC is located at 21116 N John Wayne Pkwy Ste B7, Maricopa, AZ 85139. The listed phone number is (520) 568-3828.

What is Super Smiles Maricopa PLLC's specialty?

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

What insurance does Super Smiles Maricopa PLLC accept?

Health plans from Ambetter from Arizona Complete Health list Super Smiles Maricopa PLLC 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 Super Smiles Maricopa PLLC was last updated on January 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.