Active NPI
Nabil Fehmi, DDS
- General Practice Dentistry
- Phoenix, AZ
National Provider Identifier
1598774853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6543
- Practice address
- 3019 N 35TH Ave
109
Phoenix, AZ 85017-5206 - Phone
- (602) 269-7797
- Fax
- (602) 269-2329
- NPI assigned
- Aug 5, 2006
- Last updated
- Apr 21, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6543 | AZ | Primary |
| General Practice Dentistry | 1223G0001X | 2901017755 | MI |
Addresses
Primary practice location
3019 N 35TH Ave
109
Phoenix, AZ 85017-5206
Mailing address
3019 N 35TH Ave
109
Phoenix, AZ 85017-5206
Phone (602) 269-7797
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020635027 | Other | MI | TAX IDENTIFICATION NUMBER |
| 074462 | Medicaid | AZ |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170707002815 | AZ | Order and Referring Only - Dentist | 9537436720 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901017755 | MI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westwind Management Inc | 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": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208736000000",
"number": "1598774853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3019 N 35TH AVE",
"address_2": "109",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850175206",
"telephone_number": "602-269-7797",
"fax_number": "602-269-2329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3019 N 35TH AVE",
"address_2": "109",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850175206",
"telephone_number": "602-269-7797",
"fax_number": "602-269-2329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEHMI",
"first_name": "NABIL",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-05",
"last_updated": "2008-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "6543",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "2901017755",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX IDENTIFICATION NUMBER",
"identifier": "020635027",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "074462",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.