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Dr. Mozhgan Kimble , DDS

Dentist - General Practice β€’ Phoenix, AZ

Active NPI 1205087228 Individual Practitioner Female Practitioner
Practice location in NPPES

9015 N 3rd St
Phoenix, AZ 850202444

Call 4808824545 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

9015 N 3rd St

Phoenix, AZ 850202444

Telephone 4808824545
Fax 6028706348
Organization at the Same NPPES Address or Phone
Neighborhood Outreach Access To Health Facility NPI 1649659236

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

What Public CMS Data Show

Dentist - General Practice: NPPES taxonomy is a reported classification, not proof of board certification.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $16.26 in 2021

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2021.

Guide: How to read an Open Payments record

NPI first issued

2008

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Kimble has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Kimble as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Phoenix and Arizona

461 active clinicians are listed under Dentist - General Practice with a practice address in Phoenix, AZ (2,483 in Arizona).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Phoenix

0% of these 461 clinicians have the CMS telehealth indicator.

0.2% of these 461 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2021), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2021

Program year 2021 (payments made January 1 – December 31, 2021): fewer than 11 records totaling $16.26.

Manufacturer Payment Nature Product Type Amount ($)
Elevate Oral Care
Food and Beverage
Cash or cash equivalent
Fluorimax 5000 General $16.26

Source: CMS Open Payments, program year 2021, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-01-20
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES AZ D04697

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist

NUCC Taxonomy Code: 122300000X

License # reported to NPPES AZ 4697

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Arizona Medical Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
467789 (AZ)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - DENTIST

Medicare Enrollment ID

I20220831002408

Enrollment State Jurisdiction

AZ

PECOS Control ID

4981088507

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

30 listed
NPI 1164953147

Doctor of Medicine (M.D.)

Dr. Cinthia Arredondo Paramo , DNP, PMHNP-BC, FNP-C

Nurse Practitioner - Psychiatric/Mental Health

NPI 1073124525

Doctor of Nursing Practice, Psychiatric-Mental Health Nurse Practitioner (Board Certified), Family Nurse Practitioner (Certified)

Dr. Dmitry Bisk , MD

Family Medicine

NPI 1083059323

Doctor of Medicine (M.D.)

Carla Boan , PA-C

Physician Assistant

NPI 1164904413

Physician Assistant (Certified)

Dr. Karissa Cain , DNP, FNP-C

Nurse Practitioner - Family

NPI 1235800319

Doctor of Nursing Practice, Family Nurse Practitioner (Certified)

Dr. Elliott Davis , DO

Student in an Organized Health Care Education/Training Program

NPI 1447954417

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location January 20, 2023

Registered at 9015 N 3RD ST, PHOENIX, AZ 850202444 (Tel: 4808824545)

πŸ“
Updated Business Mailing Address January 20, 2023

Registered at 7500 N DREAMY DRAW DR STE 145, PHOENIX, AZ 850204668 (Tel: 4808824545)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 20, 2023

Dentist (license number reported to NPPES: AZ D04697)

βœ…
NPI Profile Active January 06, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 06, 2016

Registered at 15833 N 29TH ST, STE. 1287, PHOENIX, AZ 850323704 (Tel: 6024492811)

πŸ“
Business Mailing Address (Initial Record) January 06, 2016

Registered at 2500 W UTOPIA RD, SUITE 100, PHOENIX, AZ 850274171 (Tel: 6234346200)

πŸ‘€
Provider Name / Credentials (Initial Record) January 06, 2016

Recorded as MOZHGAN KIMBLE, DDS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 06, 2016

Dentist (license number reported to NPPES: AZ 4697)

🟒
Initial NPI Registration & Enumeration October 08, 2008

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1205087228
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 08, 2008
Last Update: January 20, 2023
Sole Proprietor: Yes

Other Dentist - General Practices in Phoenix

All Dentist - General Practices in Phoenix

Mailing Address

7500 N Dreamy Draw Dr Ste 145

Phoenix, AZ 850204668

Phone: 4808824545

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.