NPIMap

Organization Active NPI

Nobuaki Management

  • Dentist
  • Phoenix, AZ
National Provider Identifier
1821323635
Registry record updated Oct 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
NOBUAKI MANAGEMENT
Practice address
1525 W Thomas Rd
Phoenix, AZ 85015-6102
Phone
(602) 263-9039
Fax
(602) 263-9071
NPI assigned
Oct 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2009

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

Authorized official

Name
Kimberly A Mack, R.D.H.
Title
Owner
Phone
(480) 231-7020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1525 W Thomas Rd
Phoenix, AZ 85015-6102

Mailing address

1525 W Thomas Rd
Phoenix, AZ 85015-6102
Phone (602) 263-9039

Other names 1

  • Encanto Family Dental Care Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1255392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255392000000",
    "number": "1821323635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 W THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850156102",
            "telephone_number": "602-263-9039",
            "fax_number": "602-263-9071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 W THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850156102",
            "telephone_number": "602-263-9039",
            "fax_number": "602-263-9071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOBUAKI MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-13",
        "last_updated": "2009-10-13",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-231-7020",
        "authorized_official_credential": "R.D.H."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Encanto Family Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.