NPIMap

Organization Active NPI

Ismail Moayedpardazi DMD PLLC

  • Dental Clinic/Center
  • Queen Creek, AZ
National Provider Identifier
1659856151
Registry record updated Oct 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ISMAIL MOAYEDPARDAZI DMD PLLC
Practice address
20261 E Ocotillo Rd Ste 120
Queen Creek, AZ 85142-8806
Phone
(480) 987-8768
NPI assigned
Oct 1, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2018

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

Authorized official

Name
Dr. Seyed Ismail MoayedpardaziNPI 1336474469
Title
Owner
Phone
(480) 620-0596

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

20261 E Ocotillo Rd Ste 120
Queen Creek, AZ 85142-8806

Mailing address

20261 E Ocotillo Rd Ste 120
Queen Creek, AZ 85142-8806
Phone (480) 987-8768

National Provider Directory

National Provider Directory

Locations

20261 E Ocotillo Rd
Ste 120
Queen Creek, AZ 85142
Phone (480) 987-8768

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1538352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538352000000",
    "number": "1659856151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20261 E OCOTILLO RD STE 120",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851428806",
            "telephone_number": "480-987-8768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20261 E OCOTILLO RD STE 120",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851428806",
            "telephone_number": "480-987-8768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISMAIL MOAYEDPARDAZI DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-01",
        "last_updated": "2018-10-01",
        "status": "A",
        "authorized_official_last_name": "MOAYEDPARDAZI",
        "authorized_official_first_name": "SEYED ISMAIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-620-0596",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queen Creek, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2018; 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.