Active NPI
Allison Kate Inouye, DDS
- Dentist
- Phoenix, AZ
National Provider Identifier
1790191559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 9918
- Practice address
- 2217 W Happy Valley Rd Ste 101
Phoenix, AZ 85085-1604 - Phone
- (623) 434-0543
- NPI assigned
- Jul 1, 2014
- Last updated
- Mar 17, 2018
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 9918 | AZ | Primary |
Addresses
Primary practice location
2217 W Happy Valley Rd Ste 101
Phoenix, AZ 85085-1604
Mailing address
4422 N 75TH St Unit 7001
Scottsdale, AZ 85251-4081
Phone (310) 417-3000
Other practice location 1
300 E Buckthorn St
Inglewood, CA 90301-3418
Phone (310) 419-3000
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 |
|---|---|---|---|---|
| I20180419002536 | AZ | Order and Referring Only - Dentist | 1658634951 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9918 | AZ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dentists of Phoenix, LLP | Dentist | Past | Accepting new patients |
| The Children's Dental Center | 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.
-
- Public Health Dentistry
- Inglewood, CA
- NPI 1740392216
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1790191559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4422 N 75TH ST UNIT 7001",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852514081",
"telephone_number": "310-417-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2217 W HAPPY VALLEY RD STE 101",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850851604",
"telephone_number": "623-434-0543"
}
],
"practiceLocations": [
{
"address_1": "300 E Buckthorn St",
"address_purpose": "LOCATION",
"city": "Inglewood",
"state": "CA",
"postal_code": "903013418",
"country_code": "US",
"telephone_number": "310-419-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "INOUYE",
"first_name": "ALLISON",
"middle_name": "KATE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-01",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "9918",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.