Debonair Ink

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DEBONAIR INK

Practice address

1415 N Beaver St
Flagstaff, AZ 86001-1401

Phone

(928) 774-1170

Fax

(928) 774-1171

NPI assigned

Aug 25, 2010

Organization subpart

No

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

Authorized official

Name

Debora Kay Moshos, RDH

Title

President

Phone

(928) 774-1170

Specialties & licenses 1

Addresses

Other names 1

• Aesthetic Dentistry Other name

Locations

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

{
    "created_epoch": "1282694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283904000000",
    "number": "1194031336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 N BEAVER ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860011401",
            "telephone_number": "928-774-1170",
            "fax_number": "928-774-1171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 N BEAVER ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860011401",
            "telephone_number": "928-774-1170",
            "fax_number": "928-774-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBONAIR INK",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-25",
        "last_updated": "2010-09-08",
        "status": "A",
        "authorized_official_last_name": "MOSHOS",
        "authorized_official_first_name": "DEBORA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-774-1170",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aesthetic Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Thomas De Moulin, PT
• Czarina De Padua, RBT
• Shelli Dea, LAC
• Rhonda Deadrick, LMT
• Ruth Ann Deboard, FNPC
• Cecile Frances Dechambre, COGNP
• Elizabeth A Decker, D.C.
• Jill A Dedera, L.AC.
• James Aaron Dees, MD
• Julie A Degeyter, PT, DPT

• General Practice Dentistry in Flagstaff, AZ
• Providers in Flagstaff, 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 Sep 8, 2010; 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.