Individual provider Active NPI

Maham Fayyaz Chaudhry, DMD

  • General Practice Dentistry
  • Anthem, AZ
National Provider Identifier
1508271040
Registry record updated Mar 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8895 Issued in AZ
Practice address
39504 N Daisy Mountain Dr Ste 106
Anthem, AZ 85086-6065
Phone
(623) 231-3009
Fax
(623) 215-3512
NPI assigned
Jun 23, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2019

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 8895 AZ Primary

Addresses

Primary practice location

39504 N Daisy Mountain Dr Ste 106
Anthem, AZ 85086-6065

Mailing address

39504 N Daisy Mountain Dr Ste 106
Anthem, AZ 85086-6065
Phone (623) 231-3009

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
I20150708002947 AZ Order and Referring Only - DentistPractitioner - Dentist 1658683396

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8895AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Dental Professionals, P.C. General Practice Past Accepting new patients
Arizona Dental Professionals, P.C. General Practice PastSince Sep 12, 2021 Accepting new patients

Organizations & group practices 2

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": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551830400000",
    "number": "1508271040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39504 N DAISY MOUNTAIN DR STE 106",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850866065",
            "telephone_number": "623-231-3009",
            "fax_number": "623-215-3512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39504 N DAISY MOUNTAIN DR STE 106",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850866065",
            "telephone_number": "623-231-3009",
            "fax_number": "623-215-3512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAUDHRY",
        "first_name": "MAHAM",
        "middle_name": "FAYYAZ",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-23",
        "last_updated": "2019-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "8895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anthem, AZ

Sources for this page

Verify at the official NPI Registry.