Individual provider Active NPI

Payam Abedi, D.D.S.

  • Dentist
  • Scottsdale, AZ
National Provider Identifier
1376524942
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5414 Issued in AZ
Practice address
9746 N 90TH PL
#201
Scottsdale, AZ 85258-5083
Phone
(480) 614-8000
Fax
(480) 614-3801
NPI assigned
Nov 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 5414 AZ Primary

Addresses

Primary practice location

9746 N 90TH PL
#201
Scottsdale, AZ 85258-5083

Mailing address

9746 N 90TH PL
#201
Scottsdale, AZ 85258-5083
Phone (480) 614-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150601002225 AZ Practitioner - Oral Surgery 8022338748 Practice locations: Phoenix, AZ

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5414AZMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Best Choice Dental Group LLC Dentist PastSince Mar 7, 2015 Accepting new patients
A&a Family Dentistry Past Accepting new patients
Arizona Dental Professionals, P.C. Past Accepting new patients
Az Life Dentistry, PLLC Dentist Past Accepting new patients
Xo Dentistry - Az P.C. Dentist PastSince Aug 9, 2020 Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376524942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9746 N 90TH PL",
            "address_2": "#201",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585083",
            "telephone_number": "480-614-8000",
            "fax_number": "480-614-3801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9746 N 90TH PL",
            "address_2": "#201",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585083",
            "telephone_number": "480-614-8000",
            "fax_number": "480-614-3801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABEDI",
        "first_name": "PAYAM",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "5414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.