Alan P Kawakami DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2044 Issued in AZ

Legal business name

ALAN P KAWAKAMI DDS PC

Practice address

2700 E Fry Blvd
Suite B-9
Sierra Vista, AZ 85635-2826

Phone

(520) 459-1600

Fax

(520) 459-5763

NPI assigned

Apr 18, 2012

Last updated

Aug 11, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Alan Paul Kawakami, DDSNPI 1821172131

Title

Orthodontist

Phone

(520) 459-1600

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alan P Kawakami, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Sierra Vista, AZ
  • NPI 1821172131

  Customized Equipment

  NPD Authorized official

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502409600000",
    "number": "1063779841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 E FRY BLVD",
            "address_2": "SUITE B-9",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 E FRY BLVD",
            "address_2": "SUITE B-9",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352826",
            "telephone_number": "520-459-1600",
            "fax_number": "520-459-5763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN P KAWAKAMI DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-18",
        "last_updated": "2017-08-11",
        "status": "A",
        "authorized_official_last_name": "KAWAKAMI",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "520-459-1600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AZ",
            "license": "2044",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "2044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rahil Akhtar, D.M.D.
• Yahya Munaf Salim Al Attraqchi, MD
• Layla Al Safadi Abou Al Fadel, MD
• Shadi Samer Al-Deir, MD
• Hussam Fuad Eid Al-Jawaldeh, MD
• Dana J Albalate, CNM
• Regina Lenette Allen
• Alliance Healthcare Services Inc
• Angela Allred, PA-C
• Ayah Khaled-Fozan Almufleh, M.D

• General Practice Dentistry in Sierra Vista, AZ
• Providers in Sierra Vista, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.