Organization Active NPI

Ghasem K. Darian, D.D.S., LTD

  • General Practice Dentistry
  • Phoenix, AZ
National Provider Identifier
1730307059
Registry record updated Apr 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4354 Issued in AZ
Legal business name
GHASEM K. DARIAN, D.D.S., LTD
Doing business as
Paradise Valley Dental Care
Practice address
4001 E Bell Road
Ste 120
Phoenix, AZ 85032
Phone
(602) 992-5600
Fax
(602) 992-2442
NPI assigned
Apr 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2008

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

Authorized official

Name
Pam D Shorts
Title
Office Manager
Phone
(602) 992-5600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 4354 AZ Primary

Addresses

Primary practice location

4001 E Bell Road
Ste 120
Phoenix, AZ 85032

Mailing address

4001 E Bell Road
Ste 120
Phoenix, AZ 85032
Phone (602) 992-5600

Other identifiers 1

IdentifierTypeStateIssuer
416992OtherAZAHCCCS

Other names 1

  • Paradise Valley Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

4001 E Bell Rd
Ste 120
Phoenix, AZ 85032
Phone (602) 992-5600

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208390400000",
    "number": "1730307059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 E BELL ROAD",
            "address_2": "STE 120",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85032",
            "telephone_number": "602-992-5600",
            "fax_number": "602-992-2442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 E BELL ROAD",
            "address_2": "STE 120",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85032",
            "telephone_number": "602-992-5600",
            "fax_number": "602-992-2442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHASEM K. DARIAN, D.D.S., LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2008-04-17",
        "status": "A",
        "authorized_official_last_name": "SHORTS",
        "authorized_official_first_name": "PAM",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "602-992-5600"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "4354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "416992",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paradise Valley Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 17, 2008; 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.