Individual provider Active NPI

Ali Akbar Bipar, D.D.S.

  • General Practice Dentistry
  • Phoenix, AZ
National Provider Identifier
1609964147
Registry record updated Apr 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4653 Issued in AZ
Practice address
4611 E Shea Blvd Ste 107
Phoenix, AZ 85028-4254
Phone
(602) 494-1448
Fax
(602) 494-4766
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 4653 AZ
General Practice Dentistry 1223G0001X 4653 AZ Primary

Addresses

Primary practice location

4611 E Shea Blvd Ste 107
Phoenix, AZ 85028-4254

Mailing address

4232 E Cactus Rd
Suite #107
Phoenix, AZ 85032-7602
Phone (602) 494-1448

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bipar Dental Current Accepting new patients

Locations

4611 E Shea Blvd
Ste 150
Phoenix, AZ 85028

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556496000000",
    "number": "1609964147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4232 E CACTUS RD",
            "address_2": "SUITE #107",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850327602",
            "telephone_number": "602-494-1448",
            "fax_number": "602-494-4766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4611 E SHEA BLVD STE 107",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850284254",
            "telephone_number": "602-494-1448",
            "fax_number": "602-494-4766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIPAR",
        "first_name": "ALI",
        "middle_name": "AKBAR",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2019-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "AZ",
            "license": "4653",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "4653",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 29, 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.

Verify at the official NPI Registry.