Individual provider Active NPI

Tamer El-Gendy, DMD, BDS , MS

  • Prosthodontics
  • Gilbert, AZ
National Provider Identifier
1215360979
Registry record updated Aug 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
D008106 Issued in AZ
Practice address
3435 E Comstock Dr
Gilbert, AZ 85296-1892
Phone
(614) 209-2111
NPI assigned
Aug 16, 2013
Last updated
Aug 16, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X D008106 AZ Primary

Addresses

Primary practice location

3435 E Comstock Dr
Gilbert, AZ 85296-1892

Mailing address

3435 E Comstock Dr
Gilbert, AZ 85296-1892
Phone (614) 209-2111

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
D008106AZMDProsthodontist

NPI Registry JSON

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

{
    "created_epoch": "1376611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376611200000",
    "number": "1215360979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3435 E COMSTOCK DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852961892",
            "telephone_number": "614-209-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 E COMSTOCK DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852961892",
            "telephone_number": "614-209-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EL-GENDY",
        "first_name": "TAMER",
        "name_prefix": "Dr.",
        "credential": "DMD, BDS , MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-16",
        "last_updated": "2013-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "AZ",
            "license": "D008106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2013; 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.