Organization Active NPI

Rafed Matti, D.D.S. , P.C.

  • General Practice Dentistry
  • Phoenix, AZ
National Provider Identifier
1336348309
Registry record updated Jul 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D5938 Issued in AZ
Legal business name
RAFED MATTI, D.D.S. , P.C.
Practice address
2020 W Whispering Wind Dr
Suite 125
Phoenix, AZ 85085-2848
Phone
(602) 252-1650
NPI assigned
Jul 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2007

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

Authorized official

Name
Rafed Matti, D.D.S.
Title
President
Phone
(602) 252-1650

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D5938 AZ Primary

Addresses

Primary practice location

2020 W Whispering Wind Dr
Suite 125
Phoenix, AZ 85085-2848

Mailing address

2020 W Whispering Wind Dr
Suite 125
Phoenix, AZ 85085-2848
Phone (602) 252-1650

National Provider Directory

National Provider Directory

Locations

2020 W Whispering Wind Dr
Ste 125
Phoenix, AZ 85085
Phone (602) 252-1650

NPI Registry JSON

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184112000000",
    "number": "1336348309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 W WHISPERING WIND DR",
            "address_2": "SUITE 125",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850852848",
            "telephone_number": "602-252-1650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 W WHISPERING WIND DR",
            "address_2": "SUITE 125",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850852848",
            "telephone_number": "602-252-1650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAFED MATTI, D.D.S. , P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2007-07-11",
        "status": "A",
        "authorized_official_last_name": "MATTI",
        "authorized_official_first_name": "RAFED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-252-1650",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D5938",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 11, 2007; 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.