Individual provider Active NPI

Ashwaq A. Kayat, DDS

  • Dentist
  • Glendale, AZ
National Provider Identifier
1447500103
Registry record updated Sep 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8548 Issued in AZ
Practice address
5929 W Peoria Ave
Glendale, AZ 85302-1207
Phone
(602) 317-3793
NPI assigned
Sep 10, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 8548 AZ Primary

Addresses

Primary practice location

5929 W Peoria Ave
Glendale, AZ 85302-1207

Mailing address

6806 W Caribbean LN
Peoria, AZ 85381-4512
Phone (602) 317-3793

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
I20160413001993 AZ Order and Referring Only - DentistPractitioner - Dentist 9133427859

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1347235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347235200000",
    "number": "1447500103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6806 W CARIBBEAN LN",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814512",
            "telephone_number": "602-317-3793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5929 W PEORIA AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853021207",
            "telephone_number": "602-317-3793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAYAT",
        "first_name": "ASHWAQ",
        "middle_name": "A.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-10",
        "last_updated": "2012-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "8548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.