Individual provider Active NPI

Mahmood Badri, D.D.S

  • Dentist
  • Scottsdale, AZ
National Provider Identifier
1497139331
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D009263 Issued in AZ
Practice address
8040 E Indian School Rd
Suite #110
Scottsdale, AZ 85251-2685
Phone
(480) 994-9494
NPI assigned
Jul 9, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D009263 AZ Primary

Addresses

Primary practice location

8040 E Indian School Rd
Suite #110
Scottsdale, AZ 85251-2685

Mailing address

8040 E Indian School Rd
Suite #110
Scottsdale, AZ 85251-2685
Phone (480) 994-9494

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
I20160927002893 AZ Order and Referring Only - DentistPractitioner - Dentist 7810284312

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Smiles of Gilbert Dental LLC Current 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1436400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1497139331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8040 E INDIAN SCHOOL RD",
            "address_2": "SUITE #110",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852512685",
            "telephone_number": "480-994-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8040 E INDIAN SCHOOL RD",
            "address_2": "SUITE #110",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852512685",
            "telephone_number": "480-994-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADRI",
        "first_name": "MAHMOOD",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-09",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D009263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.