Individual provider Active NPI

Osama Abadi

  • Dentist
  • Tucson, AZ
National Provider Identifier
1679903645
Registry record updated Nov 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D008844 Issued in AZ
Practice address
5545 E Broadway Blvd
107
Tucson, AZ 85711-3809
Phone
(520) 750-1000
NPI assigned
Nov 12, 2013
Last updated
Nov 12, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D008844 AZ Primary

Addresses

Primary practice location

5545 E Broadway Blvd
107
Tucson, AZ 85711-3809

Mailing address

5400 E Williams Blvd
16205
Tucson, AZ 85711-4411
Phone (201) 870-3590

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150814012725 AZ Order and Referring Only - DentistPractitioner - Dentist 8426363854

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D008844AZMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Broadway Smiles Dentistry and Orthodontics, LLP General Practice Past Accepting new patients
Scottsdale Modern Dentistry and Orthodontics, LLP General Practice Past Accepting new patients

Organizations & group practices 2

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": "1384214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384214400000",
    "number": "1679903645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 E WILLIAMS BLVD",
            "address_2": "16205",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857114411",
            "telephone_number": "201-870-3590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5545 E BROADWAY BLVD",
            "address_2": "107",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857113809",
            "telephone_number": "520-750-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABADI",
        "first_name": "OSAMA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-12",
        "last_updated": "2013-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D008844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.