Individual provider Active NPI

Tooba Ulhaque, DMD

  • Dentist
  • Tempe, AZ
National Provider Identifier
1083234124
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D010983 Issued in AZ
Practice address
1415 E Guadalupe Rd # 105
Tempe, AZ 85283-9785
Phone
(480) 993-3696
NPI assigned
Apr 18, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X D010983 AZ Primary

Addresses

Primary practice location

1415 E Guadalupe Rd # 105
Tempe, AZ 85283-9785

Mailing address

1415 E Guadalupe Rd # 105
Tempe, AZ 85283-9785
Phone (480) 993-3696

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
I20211026001521 AZ Order and Referring Only - DentistPractitioner - Dentist 4082002969

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Scottsdale Modern Dentistry and Orthodontics, LLP General Practice PastSince Jun 1, 2021 Accepting new patients

Organizations & group practices 1

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": "1587168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1083234124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 E GUADALUPE RD # 105",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852839785",
            "telephone_number": "480-993-3696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 E GUADALUPE RD # 105",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852839785",
            "telephone_number": "480-993-3696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULHAQUE",
        "first_name": "TOOBA",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-18",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D010983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.