Active NPI
Sepideh Malekpour, DDS
- General Practice Dentistry
- Glendale, AZ
National Provider Identifier
1205973617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D5434
- Practice address
- 18301 N 79TH Ave
Suite G-186
Glendale, AZ 85308-8463 - Phone
- (623) 776-2494
- NPI assigned
- Feb 1, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D5434 | AZ | Primary |
Addresses
Primary practice location
18301 N 79TH Ave
Suite G-186
Glendale, AZ 85308-8463
Mailing address
18301 N 79TH Ave
Suite G-186
Glendale, AZ 85308-8463
Phone (623) 776-2494
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922067404 | Other | AZ | NPI ORGANIZATIONAL # |
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
| License | State | Type | Specialty |
|---|---|---|---|
| D5434 | AZ | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sepideh Malekpour, DDS, PLLC | General Practice | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Arrowhead Desert Dental
- General Practice Dentistry
- Glendale, AZ
- NPI 1922067404
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205973617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18301 N 79TH AVE",
"address_2": "SUITE G-186",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853088463",
"telephone_number": "623-776-2494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18301 N 79TH AVE",
"address_2": "SUITE G-186",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853088463",
"telephone_number": "623-776-2494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALEKPOUR",
"first_name": "SEPIDEH",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "D5434",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI ORGANIZATIONAL #",
"identifier": "1922067404",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.