Nika Padyab, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

D012137 Issued in AZ

Practice address

14650 N del Webb Blvd
Sun City, AZ 85351-2147

Phone

(623) 876-8011

NPI assigned

Jun 4, 2024

Last updated

Jun 4, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Vibrant Smiles, PLLC

  • Dentist
  • Phoenix, AZ
  • NPI 1588485619
  NPD Authorized official
• Associated Dental Care Providers, LLC

  dba Associated Dental Care Sun City

  • General Practice Dentistry
  • Sun City, AZ
  • NPI 1992848964
  NPD (past)

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

{
    "created_epoch": "1717459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1093556177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14650 N DEL WEBB BLVD",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853512147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14650 N DEL WEBB BLVD",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853512147",
            "telephone_number": "623-876-8011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADYAB",
        "first_name": "NIKA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-04",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D012137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Ann Olson, COTA/L
• Ovation Hospice of Phoenix, LLC
• Tamara Louise Overhage
• Jeremiah Bryan Ozuna, FNP-C
• Pacifica SL Phoenix LLC (The Woodmark at Sun City)
• Theresa Pak, DO
• Srinivasa R Palnati, MD
• Timothy Michael Panknin, MD
• Paul M. Papoff, M.D.
• Mario T Parise, M.D.

• Dentist in Sun City, AZ
• Providers in Sun City, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; 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.