Tannaz Zahra Malekzadeh, DMD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

6341 Issued in AZ

Practice address

20100 N 51St Ave
Ste F650
Glendale, AZ 85308-5125

Phone

(623) 362-8969

Fax

(623) 362-8971

NPI assigned

Sep 5, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Locations

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.

• Tannaz Malekzadeh DMD

  • Periodontics
  • Glendale, AZ
  • NPI 1417732363
  NPD Authorized official

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425600000000",
    "number": "1255433645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20100 N 51ST AVE",
            "address_2": "STE F650",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853085125",
            "telephone_number": "623-362-8969",
            "fax_number": "623-362-8971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20100 N 51ST AVE",
            "address_2": "STE F650",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853085125",
            "telephone_number": "623-362-8969",
            "fax_number": "623-362-8971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALEKZADEH",
        "first_name": "TANNAZ",
        "middle_name": "ZAHRA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-05",
        "last_updated": "2015-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "AZ",
            "license": "6341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noah M Maksumov, PHARMD
• Alexis Malagon
• Aida Isabel Maldonado
• Kristy Beth Malecki, M.A., CCC-SLP
• Sepideh Malekpour, DDS
• Devika Malhotra, MD
• Rahul Malhotra, MD
• Makala Malichi
• Fareen Malik, M.D.
• Sara Malik, MD

• Periodontics in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Periodontics in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2015; 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.