Organization Active NPI

Kokopelli Family and Cosmetic Dental PLLC

Doing business as Kokopelli Family and Cosmetic Dentistry

  • Dental Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1063980027
Registry record updated Nov 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
KOKOPELLI FAMILY AND COSMETIC DENTAL PLLC
Doing business as
Kokopelli Family and Cosmetic Dentistry
Practice address
1327 E Chandler Blvd Ste 105
Phoenix, AZ 85048-6272
Phone
(480) 283-0733
NPI assigned
Nov 7, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2018

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

Authorized official

Name
Supreet Singh Nagi
Title
Owner
Phone
(480) 628-6374

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1327 E Chandler Blvd Ste 105
Phoenix, AZ 85048-6272

Mailing address

1323 E Saragosa St
Chandler, AZ 85225-2094
Phone (480) 628-6374

Other names 1

  • Kokopelli Family and Cosmetic Dentistry Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1541548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541548800000",
    "number": "1063980027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1323 E SARAGOSA ST",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852252094",
            "telephone_number": "480-628-6374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1327 E CHANDLER BLVD STE 105",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850486272",
            "telephone_number": "480-283-0733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOKOPELLI FAMILY AND COSMETIC DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-07",
        "last_updated": "2018-11-07",
        "status": "A",
        "authorized_official_last_name": "NAGI",
        "authorized_official_first_name": "SUPREET",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-628-6374"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kokopelli Family and Cosmetic Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2018; 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.