Active NPI
Michio Kubota D.D.S. Inc.
- General Practice Dentistry
- Gilbert, AZ
National Provider Identifier
1013118124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D4417
- Legal business name
- MICHIO KUBOTA D.D.S. INC.
- Practice address
- 694 S Cooper Rd
Suite #a-2
Gilbert, AZ 85233-7165 - Phone
- (480) 632-2255
- Fax
- (480) 632-7846
- NPI assigned
- May 29, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michio Kubota, D.D.S.
- Title
- Dentist
- Phone
- (480) 632-2255
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D4417 | AZ | Primary |
Addresses
Primary practice location
694 S Cooper Rd
Suite #a-2
Gilbert, AZ 85233-7165
Mailing address
694 S Cooper Rd
Suite #a-2
Gilbert, AZ 85233-7165
Phone (480) 632-2255
Other names 1
- Harmony Dental of AZ
National Provider Directory
National Provider DirectoryLocations
694 S Cooper Rd
Ste A2
Gilbert, AZ 85233
Phone (480) 632-2255
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Gilbert, AZ
- NPI 1861509572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180396800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1013118124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "694 S COOPER RD",
"address_2": "SUITE #A-2",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852337165",
"telephone_number": "480-632-2255",
"fax_number": "480-632-7846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "694 S COOPER RD",
"address_2": "SUITE #A-2",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852337165",
"telephone_number": "480-632-2255",
"fax_number": "480-632-7846"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHIO KUBOTA D.D.S. INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-29",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KUBOTA",
"authorized_official_first_name": "MICHIO",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "480-632-2255",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "D4417",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Harmony Dental of AZ",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.