Megumi Management LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MEGUMI MANAGEMENT LLC

Practice address

8639 W Union Hills Dr
Peoria, AZ 85382-7000

Phone

(623) 876-1777

Fax

(623) 974-4974

NPI assigned

Apr 26, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Kim Mack, RDH, MBA

Title

Owner

Phone

(480) 231-7020

Specialties & licenses 1

Addresses

Other names 1

• Westbrook Village Dental Doing business as

Locations

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

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335398400000",
    "number": "1396003448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8639 W UNION HILLS DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853827000",
            "telephone_number": "623-876-1777",
            "fax_number": "623-974-4974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8639 W UNION HILLS DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853827000",
            "telephone_number": "623-876-1777",
            "fax_number": "623-974-4974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEGUMI MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-26",
        "last_updated": "2012-04-26",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-231-7020",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RDH, MBA"
    },
    "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": "Westbrook Village Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Geoffrey Figueras Medida, FNP-C
• Angelica Medina, RPH
• Medshape Weight Loss Clinic, LLC
• Nicole Chantel Meger
• Meguin Chiropractic Clinic,LLC
• Mojdeh Mehin-Karoubi
• Girish Himatlal Mehta, MD
• Evette Mei
• Haley E. Meier, P.A.
• Timothy J Meier, PA-C

• General Practice Dentistry in Peoria, AZ
• Providers in Peoria, 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 Apr 26, 2012; 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.