Active NPI
Kimiko Management, LLC
- General Practice Dentistry
- Phoenix, AZ
National Provider Identifier
1891819736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
National Provider Directory
National Provider DirectoryLocations
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.