Individual provider Active NPI

Hassan Zandieh

  • General Practice Dentistry
  • Phoenix, AZ
National Provider Identifier
1225203094
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D4955 Issued in AZ
Practice address
1718 N 44TH St
Phoenix, AZ 85008-4125
Phone
(602) 273-7111
Fax
(602) 273-7113
NPI assigned
Apr 23, 2008
Last updated
Apr 23, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D4955 AZ Primary

Addresses

Primary practice location

1718 N 44TH St
Phoenix, AZ 85008-4125

Mailing address

1718 N 44TH St
1718 North 44TH Street
Phoenix, AZ 85008-4125
Phone (602) 273-7111

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

LicenseStateTypeSpecialty
D4955AZMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208908800000",
    "number": "1225203094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1718 N 44TH ST",
            "address_2": "1718 NORTH 44TH STREET",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850084125",
            "telephone_number": "602-273-7111",
            "fax_number": "602-273-7113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 N 44TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850084125",
            "telephone_number": "602-273-7111",
            "fax_number": "602-273-7113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZANDIEH",
        "first_name": "HASSAN",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-23",
        "last_updated": "2008-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D4955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; 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.