Individual provider Active NPI

Sean Ziaei, D.M.D

  • Dentist
  • Tempe, AZ
National Provider Identifier
1639168867
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6152 Issued in AZ
Practice address
2747 W Southern Ave
Suit 2a
Tempe, AZ 85282-4249
Phone
(602) 454-9040
Fax
(602) 431-0290
NPI assigned
Oct 20, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6152 AZ Primary

Addresses

Primary practice location

2747 W Southern Ave
Suit 2a
Tempe, AZ 85282-4249

Mailing address

2747 W Southern Ave
Suit 2a
Tempe, AZ 85282-4249
Phone (602) 454-9040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20140127000480 TX Practitioner - Oral Surgery 5597994392 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6152AZMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Gila River Health Care Corporation CurrentSince Dec 4, 2013 Accepting new patients
Gila River Health Care CurrentSince Dec 4, 2013 Accepting new patients
Arizona State Public Health Laboratory Past Accepting new patients
Arizona Department of Health Services Past Accepting new patients

Locations

17487 S Healthcare Dr
#H
Laveen, AZ 85339
Phone (520) 550-6000

Organizations & group practices 4

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": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1639168867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2747 W SOUTHERN AVE",
            "address_2": "SUIT 2A",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852824249",
            "telephone_number": "602-454-9040",
            "fax_number": "602-431-0290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2747 W SOUTHERN AVE",
            "address_2": "SUIT 2A",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852824249",
            "telephone_number": "602-454-9040",
            "fax_number": "602-431-0290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIAEI",
        "first_name": "SEAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "6152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.