JUST FOR KIDS DENTISTRY KINGMAN PLLC (NPI# 1851554240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851554240 |
| Entity Type | Organization |
| Organization Name | JUST FOR KIDS DENTISTRY KINGMAN PLLC |
| Practice Address |
2401 Stockton Hill Rd Ste 1 Kingman AZ 86401-4189 |
| Mailing Address |
2401 Stockton Hill Rd Ste 1 Kingman AZ 86401 |
| Practice Telephone | 9287187188 |
| Practice Fax Number | 9287187189 |
| Mailing Telephone | 9287187188 |
| Mailing Fax Number | 9287187189 |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2008-07-07 |
| Authorized Official Name | MR. RONALD ANTHONY DICARLO II (PRESIDENT OWNER) |
| Authorized Official Telephone | 9287187188 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302F00000X | Exclusive Provider Organization | D6061 | AZ | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 983470 | 05 |
| Street Address |
2401 STOCKTON HILL RD STE 1 |
| City | KINGMAN |
| State | AZ |
| Zip Code | 86401-4189 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649589953 | High Desert Chiropractic Pllc | Clinic/Center | 2401 Stockton Hill Rd, Ste 105, Kingman, AZ 86401-4189 | 2010-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053858704 | Robert Cole | Nurse Practitioner | 3545 Cheyenne Ave, King,an, AZ 86401 | 2017-01-19 |
| 1710420286 | Acadia Healthcare Inc | Nurse Practitioner | 2699 E Andy Devine, Suite B, Kingman, AZ 86401 | 2016-11-30 |
| 1174079800 | Kenneth Mcadow | Physical Therapist | 2404 Stockton Hill Road, Suite K, Kingman, AZ 86401 | 2016-09-01 |
| 1649659483 | Tracie Hirz | Case Manager/Care Coordinator | 3656 Packsaddle Road, Kingman, AZ 86401 | 2015-05-27 |
| 1548657695 | Chelsea Presbrey | Family Medicine | 2202 N Stockton Hill Rd Ste 100, Kingman, AZ 86401 | 2015-04-15 |
| 1649617226 | Abubakr Abdelmunim Tagelsir Abdelaziz | Internal Medicine | 2501 N Stockton Hill Rd Ste 102, Kingman, AZ 86401 | 2013-05-23 |
| 1205173325 | Patricia Jean Marko | Social Worker | 2002 Stockton Hill Road, Mohave Mental Health Clinic, Inc., Kingman, AZ 86401 | 2013-01-09 |
| 1770835316 | Hae Young Lee | Dentist | 2058 Maya Dr., Kingman, AZ 86401 | 2012-10-05 |
| 1255681623 | Hilary Radler | Specialist/Technologist | 3033 Macdonald, Kingman, AZ 86401 | 2012-09-13 |
| 1477836880 | Goodwill of Northern Arizona | Exclusive Provider Organization | 2369 Airway Avenue, Kingman, AZ 86401 | 2011-09-21 |
| Find all providers in zip 86401 | ||||
| Taxonomy Code | 302F00000X |
| Grouping | Managed Care Organizations |
| Classification | Exclusive Provider Organization |
| (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477836880 | Goodwill of Northern Arizona | Exclusive Provider Organization | 2369 Airway Avenue, Kingman, AZ 86401 | 2011-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497299101 | Lifestyles | Exclusive Provider Organization | 4385 E Wild Elk Trl, Flagstaff, AZ 86004-7921 | 2016-12-14 |
| 1356794150 | David Ryan Schaner | Exclusive Provider Organization | 12533 W Coldwater Springs Blvd, Avondale, AZ 85323-8320 | 2016-07-15 |
| 1528415650 | Nazcare, Inc. | Exclusive Provider Organization | 8200 E. Jacque Dr., Prescott Valley, AZ 86314 | 2016-05-18 |
| 1508228701 | Sfc Shane | Exclusive Provider Organization | 460 E Osage Ave, 1, Apache Junction, AZ 85119-3748 | 2016-03-25 |
| 1568845592 | Desert Journey, LLC | Exclusive Provider Organization | 904 E Prescott Pl, Chandler, AZ 85249-5131 | 2015-07-08 |
| 1386049419 | Linda L Austin, Md PC | Exclusive Provider Organization | 1301 E Mcdowell Rd Ste 103, Phoenix, AZ 85006-2605 | 2014-10-31 |
| 1720480940 | Above and Beyond Care Providers | Exclusive Provider Organization | 2136 E. Bowker St, Phoenix, AZ 85040 | 2014-09-18 |
| 1578979118 | White Mountain Surgical Specialist | Exclusive Provider Organization | 2650 E Show Low Lake Rd Ste 2, Show Low, AZ 85901-7955 | 2014-07-03 |
| 1023441987 | New Life Care Center Int | Exclusive Provider Organization | 650 S Country Club Dr Apt 125, Mesa, AZ 85210-2341 | 2013-08-14 |
| 1902246291 | Steven R Holt Od Pllc | Exclusive Provider Organization | 15341 W Waddell Rd Ste 106, Surprise, AZ 85379-5169 | 2013-07-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.