Active NPI
Osama Abadi
- Dentist
- Tucson, AZ
National Provider Identifier
1679903645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D008844
- Practice address
- 5545 E Broadway Blvd
107
Tucson, AZ 85711-3809 - Phone
- (520) 750-1000
- NPI assigned
- Nov 12, 2013
- Sex
- Male
- Sole proprietor
- No
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 and National Provider Directory roles.
-
- General Practice Dentistry
- Tucson, AZ
- NPI 1245572379
NPD (past) GENERAL PRACTICE -
- General Practice Dentistry
- Scottsdale, AZ
- NPI 1730434515
NPD (past) GENERAL PRACTICE
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150814012725 | AZ | Order and Referring Only - Dentist |
8426363854 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D008844 | AZ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New 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 |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D008844 | AZ | Primary |
Addresses
NPPES NPI RegistryPrimary 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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 12, 2013.
{
"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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2013; 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.