Organization Active NPI

Michio Kubota D.D.S. Inc.

  • General Practice Dentistry
  • Gilbert, AZ
National Provider Identifier
1013118124
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D4417 Issued in AZ
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

Updated by the provider on Aug 22, 2020

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.NPI 1861509572
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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.