ALAN P KAWAKAMI DDS PC
NPI 1063779841
Dentist - General Practice in Sierra Vista, AZ

Q: What is Alan P Kawakami Dds PC's NPI number?

The NPI number for Alan P Kawakami Dds PC is 1063779841. It was assigned to this organization in the NPPES registry on April 18, 2012.

Q: What is Alan P Kawakami Dds PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since April 18, 2012

2700 E FRY BLVD, SUITE B-9, SIERRA VISTA, AZ 85635(520) 459-1600(520) 459-5763 Get Directions Write a Review

NPPES record last updated: August 11, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 11, 2017, Nov 23, 2016 (2 updates tracked since 2016).

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About Alan P Kawakami Dds Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALAN P KAWAKAMI DDS PC (NPI 1063779841) is a healthcare organization registered as a general practice in Sierra Vista, Arizona and active in the NPI registry since April 2012. The organization lists Alan Paul Kawakami, Orthodontist, as its authorized official.

NPPES Registry Identity

NPI1063779841

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameALAN P KAWAKAMI DDS PC

Location Address2700 E FRY BLVD, SUITE B-9Sierra Vista, AZ 85635-2826

Mailing Address2700 E Fry Blvd, Suite B-9Sierra Vista, AZ 85635-2826

Phone(520) 459-1600

Fax(520) 459-5763

Organization SubpartNo

Authorized OfficialAlan Paul KawakamiOrthodontist · (520) 459-1600

Enumeration DateApril 18, 2012

Last NPPES UpdateAugust 11, 20172 updates tracked since enumeration

✔ NPI 1063779841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in AZ · 2044

Definition

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.

Also ListedClinic/Center · DentalTaxonomy 261QD0000X · License 2044 (AZ)

Also ListedDurable Medical Equipment & Medical Supplies · Customized EquipmentTaxonomy 332BC3200X

2700 E FRY BLVD, Sierra Vista, AZ 85635

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Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alan P Kawakami Dds Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateArizonaEnrollment IDO20171201002091DME · Oral Surgery - DentistDue dateFebruary 28, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. STEVEN JOHN SMITH D.D.S.

Dentist (General Practice)

2700 E FRY BLVD, SUITE B-1
SIERRA VISTA, AZ 85635

Cochise County (520) 458-3008

DR. ALAN P KAWAKAMI DDS

Dentist (Orthodontics and Dentofacial Orthopedics)

2700 E FRY BLVD, SUITE B-9
SIERRA VISTA, AZ 85635

Cochise County (520) 459-1600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alan P Kawakami Dds PC's NPI number?

The NPI number for Alan P Kawakami Dds PC is 1063779841. It was assigned to this organization in the NPPES registry on April 18, 2012.

Where is Alan P Kawakami Dds PC located?

Alan P Kawakami Dds PC is located at 2700 E Fry Blvd Suite B-9, Sierra Vista, AZ 85635. The listed phone number is (520) 459-1600.

What is Alan P Kawakami Dds PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Alan P Kawakami Dds PC enrolled in Medicare?

Yes. Alan P Kawakami Dds PC is registered in the Medicare PECOS enrollment system.

When is Alan P Kawakami Dds PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Arizona, Oral Surgery - Dentist) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

When was this NPI record last updated?

The NPPES record for Alan P Kawakami Dds PC was last updated on August 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.