Active NPI
Bazargan Family Dentistry PLLC
- Dentist
- Scottsdale, AZ
National Provider Identifier
1366817801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 8563
- Legal business name
- BAZARGAN FAMILY DENTISTRY PLLC
- Practice address
- 9220 E Raintree Dr
Suite 102
Scottsdale, AZ 85260-7589 - Phone
- (480) 614-4200
- NPI assigned
- Dec 9, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Haleh Bazargan, DDS
- Title
- Owner Dentist
- Phone
- (631) 388-0906
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 8563 | AZ | Primary |
Addresses
Primary practice location
9220 E Raintree Dr
Suite 102
Scottsdale, AZ 85260-7589
Mailing address
9220 E Raintree Dr
Suite 102
Scottsdale, AZ 85260-7589
Phone (480) 614-4200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 758643 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryLocations
9220 E Raintree Dr
Ste 102
Scottsdale, AZ 85260
Phone (480) 614-4200
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Scottsdale, AZ
- NPI 1922004670
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449619200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1449619200000",
"number": "1366817801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9220 E RAINTREE DR",
"address_2": "SUITE 102",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852607589",
"telephone_number": "480-614-4200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9220 E RAINTREE DR",
"address_2": "SUITE 102",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852607589",
"telephone_number": "480-614-4200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAZARGAN FAMILY DENTISTRY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-12-09",
"last_updated": "2015-12-09",
"status": "A",
"authorized_official_last_name": "BAZARGAN",
"authorized_official_first_name": "HALEH",
"authorized_official_title_or_position": "OWNER DENTIST",
"authorized_official_telephone_number": "631-388-0906",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "AZ",
"license": "8563",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "758643",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.