Active NPI
Shahin Madi, D.M.D., M.S.
- Periodontics
- Scottsdale, AZ
National Provider Identifier
1699980920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- D7175
- Practice address
- 23271 N Scottsdale Rd Ste A106
Scottsdale, AZ 85255-4484 - Phone
- (480) 544-2383
- NPI assigned
- May 11, 2007
- Last updated
- Apr 18, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 34761 | TX | |
| Periodontics | 1223P0300X | S4-83C | NV | |
| Periodontics | 1223P0300X | D7175 | AZ | Primary |
Addresses
Primary practice location
23271 N Scottsdale Rd Ste A106
Scottsdale, AZ 85255-4484
Mailing address
8236 N 62ND PL
Paradise Valley, AZ 85253-2645
Phone (480) 215-2859
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699980920 | Medicaid | AZ |
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 |
|---|---|---|---|---|
| I20150820010336 | CA | Order and Referring Only - Dentist | 8426363433 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D7175 | AZ | MD | Periodontist |
| S4-83C | NV | MD | Periodontist |
| 34761 | TX | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sym PHX LLC | Current | Accepting new patients | |
| Pinnacle Modern Dentistry, LLP | Past | Accepting new patients | |
| Marketplace Smiles, LLP | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba Marketplace Smiles
- General Practice Dentistry
- Phoenix, AZ
- NPI 1518052216
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744934400000",
"number": "1699980920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8236 N 62ND PL",
"city": "PARADISE VALLEY",
"state": "AZ",
"postal_code": "852532645",
"telephone_number": "480-215-2859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23271 N SCOTTSDALE RD STE A106",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852554484",
"telephone_number": "480-544-2383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADI",
"first_name": "SHAHIN",
"name_prefix": "Dr.",
"credential": "D.M.D., M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-11",
"last_updated": "2025-04-18",
"certification_date": "2025-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "TX",
"license": "34761",
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "NV",
"license": "S4-83C",
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "AZ",
"license": "D7175",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1699980920",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; 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.