Ichiba Management, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ICHIBA MANAGEMENT, LLC

Practice address

10135 E Via Linda
Suite C-119
Scottsdale, AZ 85258-5328

Phone

(480) 661-6633

NPI assigned

Mar 25, 2016

Organization subpart

No

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

Authorized official

Name

Teenah Curtin

Title

Director, Billing Services

Phone

(602) 687-9430

Specialties & licenses 1

Addresses

Other names 1

• Mercado Dental Care Doing business as

Practitioners 1

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

• Jordan David Karren, D.M.D

  • Dentist
  • Scottsdale, AZ
  • NPI 1467740530
  NPD (past)

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

{
    "created_epoch": "1458864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458864000000",
    "number": "1902268261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10135 E VIA LINDA",
            "address_2": "SUITE C-119",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585328",
            "telephone_number": "480-661-6633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10135 E VIA LINDA",
            "address_2": "SUITE C-119",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585328",
            "telephone_number": "480-661-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICHIBA MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-25",
        "last_updated": "2016-03-25",
        "status": "A",
        "authorized_official_last_name": "CURTIN",
        "authorized_official_first_name": "TEENAH",
        "authorized_official_title_or_position": "DIRECTOR, BILLING SERVICES",
        "authorized_official_telephone_number": "602-687-9430"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercado Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nageatte Ibrahim, M.D.
• Omar Abdelhakim Ibrahim, PA-C
• Ramzi Ibrahim, MD
• Sammudeen Ibrahim, MD
• Melanie Icard, N.M.D.
• Haddar E Ichilov, P.T.
• Id Health PLLC
• Idaho Urgent Care Provider Network, LLC
• Ideal Dental Scottsdale PLLC
• Ideal Health Concepts, LLC

• Dental Clinic/Center in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Dental Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2016; 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.