Individual provider Active NPI

Nadine Shatat, DMD

  • General Practice Dentistry
  • Phoenix, AZ
National Provider Identifier
1700448131
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019032233 Issued in IL
Practice address
3402 W Cocopah St
Phoenix, AZ 85009-6723
Phone
(602) 352-0350
NPI assigned
Jul 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019032233 IL Primary
General Practice Dentistry 1223G0001X D011123 AZ

Addresses

Primary practice location

3402 W Cocopah St
Phoenix, AZ 85009-6723

Mailing address

3402 W Cocopah St
Phoenix, AZ 85009-6723
Phone (602) 352-0350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D011123AZMDGeneral Practice Dentistry
019032233ILMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Martineau Dentistry PLLC General Practice PastSince Nov 1, 2021 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1562284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1700448131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3402 W COCOPAH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850096723",
            "telephone_number": "602-352-0350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3402 W COCOPAH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850096723",
            "telephone_number": "602-352-0350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHATAT",
        "first_name": "NADINE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-05",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019032233",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D011123",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; 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.