Individual provider Active NPI

Mojdeh Anvari Tehrani, D.D.S

  • Dentist
  • Scottsdale, AZ
National Provider Identifier
1487020772
Registry record updated Nov 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D009357 Issued in AZ
Practice address
8377 E Via de Ventura Apt G216
Scottsdale, AZ 85258-3146
Phone
(602) 703-5915
NPI assigned
Aug 20, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D009357 AZ Primary
Dentist 122300000X 65008 CA

Addresses

Primary practice location

8377 E Via de Ventura Apt G216
Scottsdale, AZ 85258-3146

Mailing address

8377 E Via de Ventura Apt G216
Scottsdale, AZ 85258-3146
Phone (602) 703-5915

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D009357AZMDDentist
65008CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1440028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447113600000",
    "number": "1487020772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8377 E VIA DE VENTURA APT G216",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852583146",
            "telephone_number": "602-703-5915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8377 E VIA DE VENTURA APT G216",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852583146",
            "telephone_number": "602-703-5915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANVARI TEHRANI",
        "first_name": "MOJDEH",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-20",
        "last_updated": "2015-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D009357",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "65008",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2015; 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.