Individual provider Active NPI

Roya Zojaji

  • Periodontics
  • Scottsdale, AZ
National Provider Identifier
1063586246
Registry record updated Jan 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
5488 Issued in AZ
Practice address
10752 N 89TH PL Ste 214
Scottsdale, AZ 85260-6251
Phone
(480) 614-8222
Fax
(480) 614-8225
NPI assigned
Nov 20, 2006
Last updated
Jan 29, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 5488 AZ Primary

Addresses

Primary practice location

10752 N 89TH PL Ste 214
Scottsdale, AZ 85260-6251

Mailing address

10752 N 89TH PL Ste 214
Scottsdale, AZ 85260-6251
Phone (480) 614-8222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160511000620 AZ Order and Referring Only - DentistPractitioner - Dentist 6800027194

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5488AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Neurology Clinic PC PastSince Aug 20, 2005 Accepting new patients
Ace Peridontics PC Periodontics Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548720000000",
    "number": "1063586246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10752 N 89TH PL STE 214",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606251",
            "telephone_number": "480-614-8222",
            "fax_number": "480-614-8225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10752 N 89TH PL STE 214",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606251",
            "telephone_number": "480-614-8222",
            "fax_number": "480-614-8225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOJAJI",
        "first_name": "ROYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2019-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "AZ",
            "license": "5488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.