Active NPI
Kubo Orthodontic Group a Dental Corporation
- Orthodontics and Dentofacial Orthopedics Dentistry
- Fresno, CA
National Provider Identifier
1811183841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- D33611
- Legal business name
- KUBO ORTHODONTIC GROUP A DENTAL CORPORATION
- Practice address
- 6315 N Fresno St
Suite 101
Fresno, CA 93710-5273 - Phone
- (559) 438-7600
- NPI assigned
- Sep 24, 2007
- Last updated
- Sep 24, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. James Douglas Kubo, D.D.S.
- Title
- Cfo
- Phone
- (559) 438-7600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | D33611 | CA | Primary |
Addresses
Primary practice location
6315 N Fresno St
Suite 101
Fresno, CA 93710-5273
Mailing address
6315 N Fresno St
Suite 101
Fresno, CA 93710-5273
Phone (559) 438-7600
National Provider Directory
National Provider DirectoryLocations
6315 N Fresno St
Ste 101
Fresno, CA 93710
Phone (559) 438-7600
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Fresno, CA
- NPI 1982348801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190592000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1190592000000",
"number": "1811183841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6315 N FRESNO ST",
"address_2": "SUITE 101",
"city": "FRESNO",
"state": "CA",
"postal_code": "937105273",
"telephone_number": "559-438-7600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6315 N FRESNO ST",
"address_2": "SUITE 101",
"city": "FRESNO",
"state": "CA",
"postal_code": "937105273",
"telephone_number": "559-438-7600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KUBO ORTHODONTIC GROUP A DENTAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-24",
"last_updated": "2007-09-24",
"status": "A",
"authorized_official_last_name": "KUBO",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "DOUGLAS",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "559-438-7600",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CA",
"license": "D33611",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.