Active NPI
Joseph Sadykov, D.D.S.
- Endodontics
- Phoenix, AZ
National Provider Identifier
1013359603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- D009807
- Practice address
- 1277 E Missouri Ave Ste 202
Phoenix, AZ 85014-2917 - Phone
- (236) 238-9348
- NPI assigned
- Jul 23, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | D009807 | AZ | Primary |
Addresses
Primary practice location
1277 E Missouri Ave Ste 202
Phoenix, AZ 85014-2917
Mailing address
1545 E Villa Theresa Dr
Phoenix, AZ 85022-1282
Phone (917) 468-8035
Other names 1
- Iosef Sadykov
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
| License | State | Type | Specialty |
|---|---|---|---|
| D009807 | AZ | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endoartaz, PLLC | Endodontics | Current | Accepting new patients |
| North Valley Endodontics, P.a. | Endodontics | Past | Accepting new patients |
Locations
1277 E Missouri Ave
Ste 202
Phoenix, AZ 85014
Phone (236) 238-9348
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Endodontics
- Phoenix, AZ
- NPI 1568144772
-
- Endodontics
- Phoenix, AZ
- NPI 1659308641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696291200000",
"number": "1013359603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1545 E VILLA THERESA DR",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850221282",
"telephone_number": "917-468-8035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1277 E MISSOURI AVE STE 202",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850142917",
"telephone_number": "236-238-9348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SADYKOV",
"first_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-23",
"last_updated": "2023-10-03",
"certification_date": "2023-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "AZ",
"license": "D009807",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "IOSEF",
"last_name": "SADYKOV",
"credential": "D.D.S.",
"code": "1",
"type": "Former Name"
}
]
}
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 Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.