Fatima Pimentel Saiz, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

D009982 Issued in AZ

Practice address

7505 W. Deer Valley Rd
Suite 110
Peoria, AZ 85382-2107

Phone

(623) 572-5777

Fax

(623) 572-7288

NPI assigned

Jun 10, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Miss Fatima Peralta Pimentel Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Morghan E. Teeters DMD, PLLC

  • Pediatric Dentistry
  • Peoria, AZ
  • NPI 1629616826
  NPD
• Kidz R Kool

  • Pediatric Dentistry
  • Peoria, AZ
  • NPI 1336535152
  NPD (past)
• Shine Az LLC

  • Dental Clinic/Center
  • Glendale, AZ
  • NPI 1689973679
  NPD (past)

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

{
    "created_epoch": "1307664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700784000000",
    "number": "1558656223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7505 W. DEER VALLEY RD",
            "address_2": "SUITE 100",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "85382",
            "telephone_number": "623-572-5777",
            "fax_number": "623-572-7288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7505 W. DEER VALLEY RD",
            "address_2": "SUITE 110",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853822107",
            "telephone_number": "623-572-5777",
            "fax_number": "623-572-7288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5940 W Union Hills Dr Ste B190",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853081359",
            "country_code": "US",
            "telephone_number": "602-314-4600",
            "fax_number": "602-314-5506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAIZ",
        "first_name": "FATIMA",
        "middle_name": "PIMENTEL",
        "name_prefix": "Mrs.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-10",
        "last_updated": "2023-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AZ",
            "license": "D009982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "393817",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FATIMA",
            "last_name": "PIMENTEL",
            "middle_name": "PERALTA",
            "prefix": "MISS",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kevin Safranske, PHARM. D
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• Kierstin Saldana, PA-C
• Heather Salem
• Mark P. Salerno, M.D.
• Nancy I Salinas Burgett, BCBA

• Pediatric Dentistry in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Pediatric Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2023; 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.