Organization Active NPI

Kimiko Management, LLC

  • General Practice Dentistry
  • Phoenix, AZ
National Provider Identifier
1891819736
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
KIMIKO MANAGEMENT, LLC
Doing business as
Comfort Care Dental
Practice address
3509 E Rocky Slope Dr
Phoenix, AZ 85044-7094
Phone
(480) 231-7020
Fax
(480) 704-2272
NPI assigned
Mar 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Kimberly A Mack, RDH
Title
Owner
Phone
(480) 231-7020

Specialties & licenses 1

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

Addresses

Primary practice location

3509 E Rocky Slope Dr
Phoenix, AZ 85044-7094

Mailing address

1900 W Chandler Blvd
Suite 22
Chandler, AZ 85224-8632
Phone (480) 782-9727

Other names 1

  • Comfort Care Dental Doing business as

National Provider Directory

National Provider Directory

Locations

1900 W Chandler Blvd
Ste 22
Chandler, AZ 85224
Phone (480) 681-1946

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": "1174176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891819736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 W CHANDLER BLVD",
            "address_2": "SUITE 22",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852248632",
            "telephone_number": "480-782-9727",
            "fax_number": "480-782-9748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3509 E ROCKY SLOPE DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850447094",
            "telephone_number": "480-231-7020",
            "fax_number": "480-704-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMIKO MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-18",
        "last_updated": "2020-08-22",
        "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_name_prefix": "Ms.",
        "authorized_official_credential": "RDH"
    },
    "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": "Comfort Care Dental",
            "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 Aug 22, 2020; 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.