Individual provider Active NPI

Kimberly Sharon Rao, D.M.D.

  • General Practice Dentistry
  • Mesa, AZ
National Provider Identifier
1306056502
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D7049 Issued in AZ
Practice address
4830 E Main St # B-7
Mesa, AZ 85205-8003
Phone
(480) 832-3335
Fax
(480) 832-4898
NPI assigned
May 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D7049 AZ Primary

Addresses

Primary practice location

4830 E Main St # B-7
Mesa, AZ 85205-8003

Mailing address

1137 E Sandpiper Dr
Unit 101
Tempe, AZ 85283-2072
Phone (480) 491-0267

Other names 1

  • Dr. Kimberly Sharon Ghali Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D7049AZMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306056502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1137 E SANDPIPER DR",
            "address_2": "UNIT 101",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852832072",
            "telephone_number": "480-491-0267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4830 E MAIN ST # B-7",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852058003",
            "telephone_number": "480-832-3335",
            "fax_number": "480-832-4898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAO",
        "first_name": "KIMBERLY",
        "middle_name": "SHARON",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D7049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "GHALI",
            "middle_name": "SHARON",
            "prefix": "DR.",
            "credential": "D.M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.