Active NPI
Parsa Owtad, DMD
- Dentist
- Peoria, AZ
National Provider Identifier
1538720024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D010389
- Practice address
- 13660 N 94TH Dr Ste E3
Peoria, AZ 85381-4209 - Phone
- (623) 974-4799
- NPI assigned
- Jun 25, 2019
- Last updated
- Jun 25, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D010389 | AZ | Primary |
Addresses
Primary practice location
13660 N 94TH Dr Ste E3
Peoria, AZ 85381-4209
Mailing address
6975 E Princess Dr Apt 3049
Phoenix, AZ 85054-4231
Other practice location 1
4001 E Bell Rd Ste 120
Phoenix, AZ 85032-2242
Phone (602) 992-5600
Other practice location 2
13065 W McDowell Rd Ste 112
Avondale, AZ 85392-6439
Phone (623) 455-3600
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
| License | State | Type | Specialty |
|---|---|---|---|
| D010389 | AZ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paradise Valley Family Dental LLC | General Practice | Past | Accepting new patients |
| Ghasem K. Darian, D.D.S., LTD | General Practice | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Paradise Valley Dental Care
- General Practice Dentistry
- Phoenix, AZ
- NPI 1730307059
-
- General Practice Dentistry
- Phoenix, AZ
- NPI 1265702823
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561420800000",
"number": "1538720024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6975 E PRINCESS DR APT 3049",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850544231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13660 N 94TH DR STE E3",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853814209",
"telephone_number": "623-974-4799"
}
],
"practiceLocations": [
{
"address_1": "4001 E Bell Rd Ste 120",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850322242",
"country_code": "US",
"telephone_number": "602-992-5600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13065 W McDowell Rd Ste 112",
"address_purpose": "LOCATION",
"city": "Avondale",
"state": "AZ",
"postal_code": "853926439",
"country_code": "US",
"telephone_number": "623-455-3600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OWTAD",
"first_name": "PARSA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-25",
"last_updated": "2019-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "D010389",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, AZ
- Our Family to Yours Companion & Personal Care Services, LLC
- Our Family to Yours Home Health Care, LLC.
- Ashley Briana Owen
- Bailey Owens, DPT
- Paul Kevin Owens, DDS
- Pouria Owtad, D.M.D.
- Crystal P. Corona
- Scott William Pace, D.D.S.
- Nalinee Pacheco, RN
- Pacific Footwear Company, Inc. (Priority Footwear & Pedorthic Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.