Individual provider Active NPI

Oriana Haddad, DMD

  • General Practice Dentistry
  • Phoenix, AZ
National Provider Identifier
1073099263
Registry record updated Jan 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D010022 Issued in AZ
Practice address
15433 N Tatum Blvd Ste 200
Phoenix, AZ 85032-4228
Phone
(602) 867-8488
NPI assigned
Jul 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2020

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 D010022 AZ Primary

Addresses

Primary practice location

15433 N Tatum Blvd Ste 200
Phoenix, AZ 85032-4228

Mailing address

1950 W Indian School Rd Ste 6
Phoenix, AZ 85015-5114
Phone (602) 650-1700

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
D010022AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Oriana Haddad DMD PLLC CurrentSince Feb 13, 2022 Accepting new patients
Phoenix Dental Center PLLC Dentist Past Accepting new patients
Jason H Nordean DDS PLLC Dentist PastSince Jul 24, 2022 Accepting new patients

Locations

4611 E Shea Blvd
Ste 110
Phoenix, AZ 85028
Phone (602) 840-2190

Organizations & group practices 3

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": "1531267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578355200000",
    "number": "1073099263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 W INDIAN SCHOOL RD STE 6",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850155114",
            "telephone_number": "602-650-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15433 N TATUM BLVD STE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850324228",
            "telephone_number": "602-867-8488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADDAD",
        "first_name": "ORIANA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-11",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D010022",
            "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 Jan 7, 2020; 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.