Tannaz Malekzadeh DMD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

TANNAZ MALEKZADEH DMD

Practice address

20100 N 51St Ave Ste F650
Glendale, AZ 85308-5086

Phone

(860) 478-6363

NPI assigned

Aug 29, 2023

Last updated

Aug 29, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Tannaz Malekzadeh, DMDNPI 1255433645

Title

Owner

Phone

(860) 478-6363

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tannaz Zahra Malekzadeh, DMD

  • Periodontics
  • Glendale, AZ
  • NPI 1255433645
  NPD Authorized official

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

{
    "created_epoch": "1693267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693267200000",
    "number": "1417732363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20100 N 51ST AVE STE F650",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853085086",
            "telephone_number": "860-478-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20100 N 51ST AVE STE F650",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853085086",
            "telephone_number": "860-478-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANNAZ MALEKZADEH DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-29",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A",
        "authorized_official_last_name": "MALEKZADEH",
        "authorized_official_first_name": "TANNAZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-478-6363",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis J Tan
• Raymund M Tanaka, DDS
• Christina Tang, M.A., BCBA, LBA
• Linda Tang, DDS
• Ryan Tang
• Sarah A Tanner, PA-C
• Briah Tarapacki
• Makenna Tarr
• Vanessa Tartaglia-Keane, D.O.
• John Tassone Jr., DPM

• Periodontics in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Periodontics in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; 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.