Individual provider Active NPI

Payman Tasvibi-Tanha, DDS,MS

  • General Practice Dentistry
  • Tempe, AZ
National Provider Identifier
1487706123
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4837 Issued in AZ
Practice address
1455 E Guadalupe Rd
Suite 3
Tempe, AZ 85283-3951
Phone
(480) 345-1605
Fax
(480) 831-7866
NPI assigned
Jan 16, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4837 AZ Primary

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

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
4837AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Aesthetic Dental Creations, PC General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487706123",
    "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": {
        "last_name": "TASVIBI-TANHA",
        "first_name": "PAYMAN",
        "name_prefix": "Dr.",
        "credential": "DDS,MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "4837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.