OrganizationActive
Higley Village Kidtastic, LLC
NPI 1447598495 · Pediatric Dentistry · Gilbert, AZ
Higley Village Kidtastic, LLC is a Pediatric Dentistry organization in Gilbert, AZ (NPI 1447598495).
Provider details
- NPI number
- 1447598495
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jaime Johnson, Controller(480) 648-4037
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3303 E Queen Creek Rd
Suite # 106
Gilbert, AZ 85297-8532
Phone: (480) 648-4037
Fax: (480) 696-5505
Street-level locationGet directions
Mailing address
4704 E Southern Ave
Mesa, AZ 85206-2737
Registry dates
- Enumerated
- 2013-01-25
- Last updated
- 2013-12-06
Frequently asked questions
- What is Higley Village Kidtastic, LLC's NPI number?
- Higley Village Kidtastic, LLC's National Provider Identifier (NPI) is 1447598495, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Higley Village Kidtastic, LLC?
- Higley Village Kidtastic, LLC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Higley Village Kidtastic, LLC located?
- Higley Village Kidtastic, LLC's practice location on file with NPPES is 3303 E Queen Creek Rd, Gilbert, AZ 85297-8532.
- What is Higley Village Kidtastic, LLC's phone number?
- The practice phone number listed in the NPPES registry for Higley Village Kidtastic, LLC is (480) 648-4037.
- Who is the authorized official for Higley Village Kidtastic, LLC?
- The authorized official listed on Higley Village Kidtastic, LLC's NPPES record is Jaime Johnson, Controller. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Higley Village Kidtastic, LLC's NPI active?
- Yes — Higley Village Kidtastic, LLC's NPI (1447598495) is active in the NPPES registry as of the last update on 2013-12-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.