Individual provider Active NPI

Leila Hakimzadeh Ghafouri, D.D.S.

  • General Practice Dentistry
  • Phoenix, AZ
National Provider Identifier
1003834839
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5102 Issued in AZ
Practice address
4530 N 32ND St Ste 102
Phoenix, AZ 85018-3357
Phone
(602) 956-0740
Fax
(602) 956-0852
NPI assigned
Jul 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5102 AZ Primary

Addresses

Primary practice location

4530 N 32ND St Ste 102
Phoenix, AZ 85018-3357

Mailing address

4530 N 32ND St Ste 102
Phoenix, AZ 85018-3357
Phone (602) 956-0740

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5102AZMDOccupational Therapy Assistant

Networks

  • NM HMO C-SNP

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1003834839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4530 N 32ND ST STE 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850183357",
            "telephone_number": "602-956-0740",
            "fax_number": "602-956-0852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4530 N 32ND ST STE 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850183357",
            "telephone_number": "602-956-0740",
            "fax_number": "602-956-0852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAKIMZADEH GHAFOURI",
        "first_name": "LEILA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "5102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2026; 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.