Syed Hassan Abbas Zaidi

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D012401 Issued in AZ

Practice address

17200 W Peoria Ave Ste 116
Surprise, AZ 85388-0006

Phone

(623) 738-0312

NPI assigned

May 4, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Cotton Lane Dentistry, LLP

  • Dentist
  • Surprise, AZ
  • NPI 1326729237
  NPD
• Dental Experts, LLC

  • General Practice Dentistry
  • Rockford, IL
  • NPI 1437320421
  NPD (past)

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

{
    "created_epoch": "1683158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1336838374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17200 W PEORIA AVE STE 116",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853880006",
            "telephone_number": "623-738-0312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17200 W PEORIA AVE STE 116",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853880006",
            "telephone_number": "623-738-0312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAIDI",
        "first_name": "SYED",
        "middle_name": "HASSAN ABBAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-04",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.034562",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D012401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Marie Young, R.N.
• Antonio Villamor Yu Jr., MD
• Z Medicine LLC
• Nerissa Apostol Zafe, NP-C
• Emma Rose Zahner
• Nash Zaitoon
• Marina Lisa Zakala, M.D.
• Theodore Daniel Zaki, MD
• Marie Zannini, LPN
• Helio Carmelo Zapata, M.D.

• General Practice Dentistry in Surprise, AZ
• Providers in Surprise, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; 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.