Organization Active NPI

Kingman Family Dentistry

  • General Practice Dentistry
  • Kingman, AZ
National Provider Identifier
1922575844
Registry record updated May 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
KINGMAN FAMILY DENTISTRY
Practice address
1751 Stockton Hill Rd
Ste a
Kingman, AZ 86401-6601
Phone
(928) 718-8668
NPI assigned
Oct 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2022

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

Authorized official

Name
Mrs. Ariel Rama
Title
Manager
Phone
(623) 208-7982

Specialties & licenses 1

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

Addresses

Primary practice location

1751 Stockton Hill Rd
Ste a
Kingman, AZ 86401-6601

Mailing address

34225 N 27TH Drive
BLDG 5 Suite 241
Phoenix, AZ 85085-6091
Phone (623) 439-2280

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1540771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651536000000",
    "number": "1922575844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34225 N 27TH DRIVE",
            "address_2": "BLDG 5 SUITE 241",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850856091",
            "telephone_number": "623-439-2280",
            "fax_number": "623-289-2578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 STOCKTON HILL RD",
            "address_2": "STE A",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864016601",
            "telephone_number": "928-718-8668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGMAN FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-29",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A",
        "authorized_official_last_name": "RAMA",
        "authorized_official_first_name": "ARIEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "623-208-7982",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingman, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.