Individual provider Active NPI

Ann Hammi-Blue, D.D.S., M.S., P.C.

  • Periodontics
  • Phoenix, AZ
National Provider Identifier
1174588941
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
D5379 Issued in AZ
Practice address
7725 N 43Rd Ave
Suite 724
Phoenix, AZ 85051-5770
Phone
(623) 934-1676
Fax
(623) 934-6630
NPI assigned
Apr 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X D5379 AZ Primary

Addresses

Primary practice location

7725 N 43Rd Ave
Suite 724
Phoenix, AZ 85051-5770

Mailing address

7725 N 43Rd Ave
Suite 724
Phoenix, AZ 85051-5770
Phone (623) 934-1676

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 23, 2024 through Jul 23, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
D5379AZMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Midwestern University Past Accepting new patients
Midwestern University PastSince Sep 29, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ablue23752@direct.midwestern.edu

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1174588941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7725 N 43RD AVE",
            "address_2": "SUITE 724",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850515770",
            "telephone_number": "623-934-1676",
            "fax_number": "623-934-6630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7725 N 43RD AVE",
            "address_2": "SUITE 724",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850515770",
            "telephone_number": "623-934-1676",
            "fax_number": "623-934-6630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMI-BLUE",
        "first_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S., P.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "AZ",
            "license": "D5379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.