OrganizationActive
Kg1 PLLC
NPI 1265308753 · General Practice Dentistry · Phoenix, AZ
Kg1 PLLC is a General Practice Dentistry organization in Phoenix, AZ (NPI 1265308753).
Provider details
- NPI number
- 1265308753
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Clark Larson, Owner(480) 310-7721
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10 W Adams St
Phoenix, AZ 85003-2025
Phone: (602) 777-5178
Street-level locationGet directions
Mailing address
10 W Adams St
Phoenix, AZ 85003-2025
Registry dates
- Enumerated
- 2025-10-13
- Last updated
- 2025-10-13
- Certified
- 2025-10-13
Frequently asked questions
- What is Kg1 PLLC's NPI number?
- Kg1 PLLC's National Provider Identifier (NPI) is 1265308753, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kg1 PLLC?
- Kg1 PLLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Kg1 PLLC located?
- Kg1 PLLC's practice location on file with NPPES is 10 W Adams St, Phoenix, AZ 85003-2025.
- What is Kg1 PLLC's phone number?
- The practice phone number listed in the NPPES registry for Kg1 PLLC is (602) 777-5178.
- Who is the authorized official for Kg1 PLLC?
- The authorized official listed on Kg1 PLLC's NPPES record is Clark Larson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kg1 PLLC's NPI active?
- Yes — Kg1 PLLC's NPI (1265308753) is active in the NPPES registry as of the last update on 2025-10-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.