NPIMap

Individual provider Active NPI

Kabir Rakhra, DDS

  • General Practice Dentistry
  • Peoria, AZ
National Provider Identifier
1457729113
Registry record updated Sep 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9314 Issued in AZ
Practice address
10613 W Olive Ave
Suite 201
Peoria, AZ 85345-7339
Phone
(623) 933-2145
Fax
(623) 933-2379
NPI assigned
Sep 10, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2015

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 9314 AZ Primary

Addresses

Primary practice location

10613 W Olive Ave
Suite 201
Peoria, AZ 85345-7339

Mailing address

10613 W Olive Ave
Suite 201
Peoria, AZ 85345-7339
Phone (623) 933-2145

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
9314AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Perfect Teeth / Continental Ranch P.C. General Practice Past Accepting new patients
Perfect Teeth - Olive P.C. General Practice Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1441843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441843200000",
    "number": "1457729113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10613 W OLIVE AVE",
            "address_2": "SUITE 201",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853457339",
            "telephone_number": "623-933-2145",
            "fax_number": "623-933-2379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10613 W OLIVE AVE",
            "address_2": "SUITE 201",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853457339",
            "telephone_number": "623-933-2145",
            "fax_number": "623-933-2379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAKHRA",
        "first_name": "KABIR",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-10",
        "last_updated": "2015-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "9314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2015; 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.