Organization Active NPI

Kav Dental LLC

  • General Practice Dentistry
  • Buckeye, AZ
National Provider Identifier
1831816503
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
KAV DENTAL LLC
Practice address
407 N 4TH St
Buckeye, AZ 85326-2442
Phone
(623) 327-3206
NPI assigned
Oct 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Authorized official

Name
Ayeshaw KhanNPI 1619357175
Title
Dentist
Phone
(623) 327-3206

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

407 N 4TH St
Buckeye, AZ 85326-2442

Mailing address

407 N 4TH St
Buckeye, AZ 85326-2442
Phone (623) 327-3206

Other names 1

  • SUNSET DENTAL Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kav Dental LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1666569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666569600000",
    "number": "1831816503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 N 4TH ST",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853262442",
            "telephone_number": "623-327-3206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 N 4TH ST",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853262442",
            "telephone_number": "623-327-3206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAV DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-24",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "AYESHAW",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "623-327-3206"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUNSET DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Buckeye, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.