Active NPI
Bahar F. Ata-Abadi, DDS
- General Practice Dentistry
- Phoenix, AZ
National Provider Identifier
1255393583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D5070
- Practice address
- 1904 W Parkside LN
Suite 201
Phoenix, AZ 85027-1228 - Phone
- (623) 434-9343
- Fax
- (623) 321-6268
- NPI assigned
- Apr 3, 2006
- Last updated
- Jul 13, 2026
- 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 | D5070 | AZ | Primary |
Addresses
Primary practice location
1904 W Parkside LN
Suite 201
Phoenix, AZ 85027-1228
Mailing address
6377 E Red Bird Rd
Scottsdale, AZ 85262-8874
Phone (623) 434-9343
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 527559 | Medicaid | AZ |
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 |
|---|---|---|---|
| D5070 | AZ | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riveroak Dental 1 LLC | General Practice | Past | Accepting new patients |
| Best Dental Corporation | General Practice | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1255393583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6377 E RED BIRD RD",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852628874",
"telephone_number": "623-434-9343",
"fax_number": "623-321-6268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1904 W PARKSIDE LN",
"address_2": "SUITE 201",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850271228",
"telephone_number": "623-434-9343",
"fax_number": "623-321-6268"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATA-ABADI",
"first_name": "BAHAR",
"middle_name": "F.",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-03",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "D5070",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "527559",
"state": "AZ"
}
],
"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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.