Payam Kimiaei-Asadi, D.M.D

Primary specialty

DentistTaxonomy code 122300000X

License

D008483 Issued in AZ

Practice address

5209 N Oracle Rd
Tucson, AZ 85704-3707

Phone

(520) 293-9277

NPI assigned

Jul 4, 2012

Last updated

Jul 30, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Innovative Dental Group, PLLC

  dba Advanced Family Dentistry

  • General Practice Dentistry
  • Tucson, AZ
  • NPI 1639677115
  Authorized official Same address or phone

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

{
    "created_epoch": "1341360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1356606495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5209 N ORACLE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857043707",
            "telephone_number": "520-293-9277",
            "fax_number": "520-293-3723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5209 N ORACLE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857043707",
            "telephone_number": "520-293-9277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMIAEI-ASADI",
        "first_name": "PAYAM",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-04",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D008483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrice Kimararungu, RBT
• Dan W Kimball, LPC
• Kristin Kimball
• Lisa Jo Kimbley, PHARM.D.
• Sena Kimbrell, MACOM
• Rhonda Kimm
• Thomas Joseph Kinane, M.D
• Katherine Kincaid, LPC
• Robert Joseph Kincanon, LPC
• Charity King

• Dentist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.

Verify at the official NPI Registry.