Mehedia Haque, D.M.D.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

D010994 Issued in AZ

Practice address

4717 E Ray Rd
Phoenix, AZ 85044-6230

Phone

(480) 598-5437

NPI assigned

Jun 5, 2015

Last updated

Nov 25, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Dentist

Education

Harvard School of Dental Medicine, 2015

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mhaque433333@direct.jcl.com

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.

• Salt River Pima-Maricopa Indian Community

  dba Salt River Integrated Health Care

  • Community Health Clinic/Center
  • Scottsdale, AZ
  • NPI 1942668991

  TX

  Medicare reassignment NPD
• Salt River Pima-Maricopa Indian Community

  dba Department of Health and Human Services

  • Community Health Clinic/Center
  • Scottsdale, AZ
  • NPI 1538583125
  NPD
• Young Esthetics

  • Dental Clinic/Center
  • Chicago, IL
  • NPI 1700241312
  NPD (past)

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

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700870400000",
    "number": "1720468598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 OLD COACH RD",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078694125",
            "telephone_number": "973-895-4316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4717 E RAY RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850446230",
            "telephone_number": "480-598-5437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Old Coach Rd",
            "address_purpose": "LOCATION",
            "city": "Randolph",
            "state": "NJ",
            "postal_code": "078694125",
            "country_code": "US",
            "telephone_number": "973-895-4316",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2062 N Milwaukee Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606477448",
            "country_code": "US",
            "telephone_number": "773-384-3500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2062 N Milwaukee Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "60647",
            "country_code": "US",
            "telephone_number": "773-384-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAQUE",
        "first_name": "MEHEDIA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-05",
        "last_updated": "2023-11-25",
        "certification_date": "2023-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IL",
            "license": "019.031222",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AZ",
            "license": "D010994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Happy Teeth Phoenix
• Happy Valley Community Services LLC
• Happy Valley Dental Studio
• Adi Elad Hapurne
• Farah Haq, PHARMD
• Shayan Ul Haque, MD
• Karen Harach, RN
• Megan Haramoto, OTD, OTR/L
• Josephine M Haran, NCSP
• Dana Harb, MD

• Pediatric Dentistry in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Pediatric Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.