Individual provider Active NPI

Kamal Alfakiani, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Chandler, AZ
National Provider Identifier
1023170107
Registry record updated Aug 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
6779 Issued in AZ
Practice address
3170 N Arizona Ave
Ste1
Chandler, AZ 85225-7164
Phone
(480) 558-4741
NPI assigned
Dec 14, 2006
Last updated
Aug 13, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 6779 AZ Primary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DE00010374 WA

Addresses

Primary practice location

3170 N Arizona Ave
Ste1
Chandler, AZ 85225-7164

Mailing address

236 W Calle Monte Vis
Tempe, AZ 85284-2200
Phone (716) 316-6630

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DE00010374WAMDOrthodontics and Dentofacial Orthopedic Dentist
6779AZMDOccupational Therapy Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186963200000",
    "number": "1023170107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 W CALLE MONTE VIS",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852842200",
            "telephone_number": "716-316-6630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3170 N ARIZONA AVE",
            "address_2": "STE1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852257164",
            "telephone_number": "480-558-4741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALFAKIANI",
        "first_name": "KAMAL",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AZ",
            "license": "6779",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WA",
            "license": "DE00010374",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2007; 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.