Aesthetic Dental Creations, PC

Key facts

NPI: 1437201746
Entity type: Organization (NPI type 2)
Primary specialty: General Practice Dentistry 1223G0001X
License: 4837 (AZ)
Legal business name: AESTHETIC DENTAL CREATIONS, PC
Practice address: 1455 E Guadalupe Rd
Suite 3
Tempe, AZ 85283-3951
Phone: (480) 345-1605
Fax: (480) 831-7866
NPI assigned: Jan 17, 2007
Organization subpart: No

Authorized official

Name: Dr. Payman Tasvibi-Tanha, DDS,MS NPI 1487706123
Title: Owner
Phone: (480) 345-1605

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Payman Tasvibi-Tanha, DDS,MS General Practice Dentistry · Tempe, AZ · NPI 1487706123

NPD (past) Authorized official GENERAL PRACTICE

National Provider Directory

Locations

1455 E Guadalupe Rd
Ste 3
Tempe, AZ 85283
Phone (480) 345-1605

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
General Practice Dentistry Group: 193400000X SINGLE SPECIALTY GROUP	1223G0001X	4837	AZ	Yes

Addresses

Primary practice location

1455 E Guadalupe Rd
Suite 3
Tempe, AZ 85283-3951

Mailing address

1455 E Guadalupe Rd
Suite 3
Tempe, AZ 85283-3951
Phone (480) 345-1605

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437201746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 E GUADALUPE RD",
            "address_2": "SUITE 3",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852833951",
            "telephone_number": "480-345-1605",
            "fax_number": "480-831-7866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 E GUADALUPE RD",
            "address_2": "SUITE 3",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852833951",
            "telephone_number": "480-345-1605",
            "fax_number": "480-831-7866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AESTHETIC DENTAL CREATIONS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TASVIBI-TANHA",
        "authorized_official_first_name": "PAYMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-345-1605",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS,MS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "4837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

All providers in Tempe, AZ · General Practice Dentistry in Arizona

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.