Active NPI
Kingman Family Dentistry
- General Practice Dentistry
- Kingman, AZ
National Provider Identifier
1922575844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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 DirectoryNPI 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.