Organization Active NPI

Ocotillo Lakes Endodontics, LLC

  • Endodontics
  • Chandler, AZ
National Provider Identifier
1275005688
Registry record updated Dec 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
OCOTILLO LAKES ENDODONTICS, LLC
Practice address
3200 S Alma School Rd Ste 203
Chandler, AZ 85248-3773
Phone
(914) 439-3638
NPI assigned
Dec 24, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2018

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

Authorized official

Name
Dr. Masood Sirjani, DDS, PHARMDNPI 1992017149
Title
Endodontist, Owner
Phone
(914) 439-3638

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

3200 S Alma School Rd Ste 203
Chandler, AZ 85248-3773

Mailing address

2400 W Longhorn Dr
Chandler, AZ 85286-6101
Phone (914) 439-3638

National Provider Directory

National Provider Directory

Locations

3200 S Alma School Rd
Ste 203
Chandler, AZ 85248
Phone (914) 439-3638

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1545609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545609600000",
    "number": "1275005688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 W LONGHORN DR",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852866101",
            "telephone_number": "914-439-3638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 S ALMA SCHOOL RD STE 203",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852483773",
            "telephone_number": "914-439-3638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCOTILLO LAKES ENDODONTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-24",
        "last_updated": "2018-12-24",
        "status": "A",
        "authorized_official_last_name": "SIRJANI",
        "authorized_official_first_name": "MASOOD",
        "authorized_official_title_or_position": "ENDODONTIST, OWNER",
        "authorized_official_telephone_number": "914-439-3638",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, PHARMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2018; 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.