Pouria Owtad, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8043 Issued in AZ

Practice address

9163 W Union Hills Dr Ste 101
Peoria, AZ 85382-8187

Phone

(623) 487-1888

Fax

(623) 487-1888

NPI assigned

Jul 12, 2010

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1278892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1730491283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2534 E. RIDGE CREEK RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85024",
            "telephone_number": "520-275-1741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9163 W UNION HILLS DR STE 101",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853828187",
            "telephone_number": "623-487-1888",
            "fax_number": "623-487-1888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "630 E El Prado Rd",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852251337",
            "country_code": "US",
            "telephone_number": "520-275-1741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OWTAD",
        "first_name": "POURIA",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "8043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Our Family to Yours Home Health Care, LLC.
• Ashley Briana Owen
• Bailey Owens, DPT
• Paul Kevin Owens, DDS
• Parsa Owtad, DMD
• Crystal P. Corona
• Scott William Pace, D.D.S.
• Nalinee Pacheco, RN
• Pacific Footwear Company, Inc. (Priority Footwear & Pedorthic Services)
• Pacifica Senior Living Peoria

• General Practice Dentistry in Peoria, AZ
• Providers in Peoria, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.