Karun Gaba DMD LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KARUN GABA DMD LLC

Practice address

10320 W McDowell Rd Ste A1001
Avondale, AZ 85392-4865

Phone

(623) 242-6001

Fax

(623) 242-6006

NPI assigned

Nov 21, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Karun Gaba, DMD

Title

Owner

Phone

(602) 399-9663

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1542758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546819200000",
    "number": "1205305000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15288 W BROOKSIDE LN STE 131",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853743990",
            "telephone_number": "623-251-4346",
            "fax_number": "623-251-4767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10320 W MCDOWELL RD STE A1001",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853924865",
            "telephone_number": "623-242-6001",
            "fax_number": "623-242-6006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARUN GABA DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-21",
        "last_updated": "2019-01-07",
        "status": "A",
        "authorized_official_last_name": "GABA",
        "authorized_official_first_name": "KARUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-399-9663",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "560706",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Avondale, AZ
• Providers in Avondale, AZ by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2019; 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.