Individual provider Active NPI

Joseph Sadykov, D.D.S.

  • Endodontics
  • Phoenix, AZ
National Provider Identifier
1013359603
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
D009807 Issued in AZ
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

Updated by the provider on Oct 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
D009807AZMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Endoartaz, PLLC Endodontics CurrentSince Oct 8, 2023 Accepting new patients
North Valley Endodontics, P.a. Endodontics PastSince May 1, 2022 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.

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.

Verify at the official NPI Registry.