Active NPI
Shaudee Pombo Badie, DMD, MPH
- Dentist
- Phoenix, AZ
National Provider Identifier
1053296327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D012617
- Practice address
- 720 E Thunderbird Rd Ste 2
Phoenix, AZ 85022-5396 - Phone
- (602) 641-5855
- NPI assigned
- Aug 7, 2025
- Last updated
- Aug 7, 2025
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | D012617 | AZ | Primary |
Addresses
Primary practice location
720 E Thunderbird Rd Ste 2
Phoenix, AZ 85022-5396
Mailing address
18245 N Pima Rd Apt 1027
Scottsdale, AZ 85255-6365
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 |
|---|---|---|---|
| D012617 | AZ | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754524800000",
"number": "1053296327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18245 N PIMA RD APT 1027",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852556365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 E THUNDERBIRD RD STE 2",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850225396",
"telephone_number": "602-641-5855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BADIE",
"first_name": "SHAUDEE",
"middle_name": "POMBO",
"credential": "DMD, MPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-07",
"last_updated": "2025-08-07",
"certification_date": "2025-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "D012617",
"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 Aug 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.