Individual provider Active NPI

Shazim Fayyaz Ashraf, DMD

  • General Practice Dentistry
  • Tucson, AZ
National Provider Identifier
1245642453
Registry record updated Aug 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D008891 Issued in AZ
Practice address
9160 S Houghton Rd Ste 100
Tucson, AZ 85747-9734
Phone
(520) 207-2217
NPI assigned
May 21, 2014
Last updated
Aug 28, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2016

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 D008891 AZ Primary

Addresses

Primary practice location

9160 S Houghton Rd Ste 100
Tucson, AZ 85747-9734

Mailing address

9160 S Houghton Rd Ste 100
Tucson, AZ 85747-9734
Phone (520) 207-2217

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: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150717002741 AZ Order and Referring Only - DentistPractitioner - Dentist 7214240308

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": "1400630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472342400000",
    "number": "1245642453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9160 S HOUGHTON RD STE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857479734",
            "telephone_number": "520-207-2217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9160 S HOUGHTON RD STE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857479734",
            "telephone_number": "520-207-2217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHRAF",
        "first_name": "SHAZIM",
        "middle_name": "FAYYAZ",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-21",
        "last_updated": "2016-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D008891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.