Active NPI
Ibraheem Arif
- Dentist
- Gilbert, AZ
National Provider Identifier
1447852355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 10819
- Practice address
- 753 N McQueen Rd
Ste 102/103
Gilbert, AZ 85233 - Phone
- (480) 645-9519
- NPI assigned
- Nov 15, 2020
- Last updated
- Feb 7, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 10819 | AZ | Primary |
| Dentist | 122300000X | 36871 | TX |
Addresses
Primary practice location
753 N McQueen Rd
Ste 102/103
Gilbert, AZ 85233
Mailing address
2874 Shaquile St
Corona, CA 92882-7599
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36871 | TX | MD | Clinical Psychologist |
| 10819 | AZ | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675728000000",
"number": "1447852355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2874 SHAQUILE ST",
"city": "CORONA",
"state": "CA",
"postal_code": "928827599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "753 N MCQUEEN RD",
"address_2": "STE 102/103",
"city": "GILBERT",
"state": "AZ",
"postal_code": "85233",
"telephone_number": "480-645-9519"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARIF",
"first_name": "IBRAHEEM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-15",
"last_updated": "2023-02-07",
"certification_date": "2023-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "10819",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "36871",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gilbert, AZ
- Scott D Arehart, PT
- Arenata Care LLC
- Mickayla Ann Arendt
- Gina Marie Argenzio, LCSW
- Tara Arguelles, FNP
- Arizona Advanced Anesthesia LLC
- Arizona Advanced Endoscopy LLC
- Arizona Arthritis & Rheumatology Associates P C
- Arizona Arthritis and Rheumatology Associates
- Arizona Bahvioral Care Homes Management Company
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.