KMS Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KMS DENTAL LLC

Practice address

4614 E. Shea Blvd
Suite D230
Phoenix, AZ 85028-6027

Phone

(602) 996-3993

Fax

(602) 996-0675

NPI assigned

May 22, 2015

Organization subpart

No

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

Authorized official

Name

Michael Howell

Title

Owner

Phone

(602) 996-3993

Specialties & licenses 1

Addresses

Practitioners 1

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

• Randy L Smith, D.M.D.

  • General Practice Dentistry
  • Phoenix, AZ
  • NPI 1982758355
  NPD (past)

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

{
    "created_epoch": "1432252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432252800000",
    "number": "1871972893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4614 E. SHEA BLVD",
            "address_2": "SUITE D230",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850286027",
            "telephone_number": "602-996-3993",
            "fax_number": "602-996-0675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4614 E. SHEA BLVD",
            "address_2": "SUITE D230",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850286027",
            "telephone_number": "602-996-3993",
            "fax_number": "602-996-0675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KMS DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-22",
        "last_updated": "2015-05-22",
        "status": "A",
        "authorized_official_last_name": "HOWELL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-996-3993"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arlene Dawn Kluizenaar, PA
• Laura E Klusovsky, P.A.-C.
• Kma Surgical Assist LLC
• KMF Care Group, LLC
• KMM Health Center LLC
• KMS MD PC
• Kmsa Testing
• Kimberly Irene Knaff
• Melanie Knall, LPC
• Knapp Neuropsychology

• General Practice Dentistry in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2015; 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.