Hedayat Harsini, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D5084 Issued in AZ

Practice address

7102 W Thomas Rd Ste 105
Phoenix, AZ 85033-5543

Phone

(623) 846-5555

NPI assigned

Apr 19, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Eddie Harsini Other name

Medicare fee-for-service enrollment

Enrolled in AZ

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Scottsdale Cosmetic Dentistry

  • General Practice Dentistry
  • Phoenix, AZ
  • NPI 1386745719
  NPD (past) Authorized official

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594944000000",
    "number": "1235356262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7102 W THOMAS RD STE 105",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850335543",
            "telephone_number": "623-846-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7102 W THOMAS RD STE 105",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850335543",
            "telephone_number": "623-846-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARSINI",
        "first_name": "HEDAYAT",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D5084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDDIE",
            "last_name": "HARSINI",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Linda Harry, D.V.M.
• Randall Harsha, LPC
• Sara Elizabeth Harsha
• Kimberly Harshberger, WHNP
• Brian Harshman
• Alicia Hart, MD
• Anne Marie Hart
• Claudia D Hart, M.D.
• Colleen M. Hart, MACCCSLP
• Elise Marie Hart, CTRS

• Dentist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2020; 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.

Verify at the official NPI Registry.