Active NPI
Pooya Dario Haghdoust, D.M.D
- Dentist
- Scottsdale, AZ
National Provider Identifier
1205287455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D009510
- Practice address
- 16437 N 59TH PL
Scottsdale, AZ 85254-1271 - Phone
- (480) 766-9165
- NPI assigned
- Jun 29, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D009510 | AZ | Primary |
Addresses
Primary practice location
16437 N 59TH PL
Scottsdale, AZ 85254-1271
Mailing address
16437 N 59TH PL
Scottsdale, AZ 85254-1271
Phone (480) 766-9165
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170207001708 | AZ | Order and Referring Only - Other (Non-Physician) | 9335422815 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467158400000",
"number": "1205287455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16437 N 59TH PL",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852541271",
"telephone_number": "480-766-9165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16437 N 59TH PL",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852541271",
"telephone_number": "480-766-9165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGHDOUST",
"first_name": "POOYA",
"middle_name": "DARIO",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-06-29",
"last_updated": "2016-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "D009510",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.