Alan P Kawakami, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

2044 Issued in AZ

Practice address

2700 E Fry Blvd
Suite B-9
Sierra Vista, AZ 85635-2826

Phone

(520) 459-1600

Fax

(520) 459-5763

NPI assigned

Oct 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Alan P Kawakami DDS PC

  • General Practice Dentistry
  • Sierra Vista, AZ
  • NPI 1063779841

  Customized Equipment

  NPD Authorized official

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502409600000",
    "number": "1821172131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 E FRY BLVD",
            "address_2": "SUITE B-9",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352826",
            "telephone_number": "520-459-1600",
            "fax_number": "520-459-5763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 E FRY BLVD",
            "address_2": "SUITE B-9",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352826",
            "telephone_number": "520-459-1600",
            "fax_number": "520-459-5763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAWAKAMI",
        "first_name": "ALAN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2017-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "AZ",
            "license": "2044",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AZ",
            "license": "2044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Davit Kalmakhelidze, M.D.
• Pamela Kaminski, DMD PEDIATRIC DENTIS
• Ceon Kang, D.O
• Marc A Kaplan, DO
• Kathleen M Jones MD Inc.
• Lindsay D Kay, RN
• James F Keane, D.O.
• Anna Katarzyna Keefe, R.D.
• Erika K Keller
• Corneta E. Kelley, M.A.,CCC-SLP

• All providers in Sierra Vista, AZ
• Orthodontics and Dentofacial Orthopedics Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2017; 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.

Verify at the official NPI Registry.