Individual provider Active NPI

Karun Gaba, DMD

  • Dentist
  • Avondale, AZ
National Provider Identifier
1730493685
Registry record updated Aug 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
07996 Issued in AZ
Practice address
1430 N. Central Ave.
Suite a
Avondale, AZ 85323
Phone
(623) 932-0539
Fax
(623) 932-5494
NPI assigned
Aug 3, 2010
Last updated
Aug 3, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 07996 AZ Primary

Addresses

Primary practice location

1430 N. Central Ave.
Suite a
Avondale, AZ 85323

Mailing address

1430 N. Central Ave.
Suite a
Avondale, AZ 85323
Phone (623) 932-0539

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150604002875 AZ Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0042531857

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07996AZMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280793600000",
    "number": "1730493685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 N. CENTRAL AVE.",
            "address_2": "SUITE A",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "85323",
            "telephone_number": "623-932-0539",
            "fax_number": "623-932-5494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 N. CENTRAL AVE.",
            "address_2": "SUITE A",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "85323",
            "telephone_number": "623-932-0539",
            "fax_number": "623-932-5494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABA",
        "first_name": "KARUN",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-03",
        "last_updated": "2010-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "07996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avondale, AZ

Sources for this page

Verify at the official NPI Registry.