Active NPI
Gopi Anay Kapadia, DDS
- General Practice Dentistry
- Phoenix, AZ
National Provider Identifier
1619911187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D6285
- Practice address
- 4008 N 33Rd Ave
Phoenix, AZ 85017-4510 - Phone
- (602) 266-9659
- Fax
- (602) 266-8275
- NPI assigned
- Jun 15, 2006
- Last updated
- Sep 28, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D6285 | AZ | Primary |
Addresses
Primary practice location
4008 N 33Rd Ave
Phoenix, AZ 85017-4510
Mailing address
4008 N 33Rd Ave
Phoenix, AZ 85017-4510
Phone (602) 266-9659
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 977572 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150625000138 | AZ | Order and Referring Only - Oral Surgery | 3476864968 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D6285 | AZ | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Niknav PLLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285632000000",
"number": "1619911187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4008 N 33RD AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850174510",
"telephone_number": "602-266-9659",
"fax_number": "602-266-8275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4008 N 33RD AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850174510",
"telephone_number": "602-266-9659",
"fax_number": "602-266-8275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAPADIA",
"first_name": "GOPI",
"middle_name": "ANAY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-15",
"last_updated": "2010-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "D6285",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "977572",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.