Active NPI
Apeldin Aghassi, DMD
- Dentist
- Phoenix, AZ
National Provider Identifier
1699348854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D011118
- Practice address
- 2805 W Agua Fria Fwy Ste 8a
Phoenix, AZ 85027-3938 - Phone
- (623) 255-3390
- NPI assigned
- Jul 23, 2021
- Last updated
- Jul 26, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D011118 | AZ | Primary |
Addresses
Primary practice location
2805 W Agua Fria Fwy Ste 8a
Phoenix, AZ 85027-3938
Mailing address
1361 S Greenfield Rd Apt 2053
Mesa, AZ 85206-3394
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211025002022 | CA | Order and Referring Only - Dentist | 6204224223 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deer Valley Dental Group, LLP | Dentist | Past | Accepting new patients |
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, 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": "1626998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627257600000",
"number": "1699348854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1361 S GREENFIELD RD APT 2053",
"city": "MESA",
"state": "AZ",
"postal_code": "852063394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2805 W AGUA FRIA FWY STE 8A",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850273938",
"telephone_number": "623-255-3390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGHASSI",
"first_name": "APELDIN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-07-23",
"last_updated": "2021-07-26",
"certification_date": "2021-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "D011118",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
- Sourabh Aggarwal, MD
- Agh Laveen LLC (Dignity Health Arizona General Hospital Emergency Room)
- Agh Laveen LLC (Dignity Health Arizona General Hospital Emergency Room)
- Agh Mesa LLC (Dignity Health Arizona General Hospital Emergency Room - Ahwatukee)
- Ahmed K Agha, M.D., PHARMD
- Mustafa Agil
- Agile Healthcare, LLC
- Danielle Erica Agins, OTR/L
- Agl Hospice Inc
- Hannah Agnew, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; 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.