Mohamed Tarek Elsheikh, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D012637 Issued in AZ

Practice address

5045 W Baseline Rd Ste 135
Laveen, AZ 85339-7394

Phone

(602) 237-0365

NPI assigned

Jun 25, 2024

Sex

Male

Sole proprietor

Yes

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

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Laveen Modern Dentistry

  • Dentist
  • Laveen, AZ
  • NPI 1154856177
  NPD (past)
• Laveen Modern Dentistry, LLP

  • General Practice Dentistry
  • Laveen, AZ
  • NPI 1497064851
  NPD (past)

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

{
    "created_epoch": "1719273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1760227409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5045 W BASELINE RD STE 135",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853397394",
            "telephone_number": "602-237-0613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5045 W BASELINE RD STE 135",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853397394",
            "telephone_number": "602-237-0365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELSHEIKH",
        "first_name": "MOHAMED",
        "middle_name": "TAREK",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-25",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D012637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dynamic Dental Health Associates of Arizona
• Latesha Edmon
• Christian Eiland, ATC
• Traiza S Elbiblawy, RPH
• Yvette K Ellis, MAED-BHT
• Embrace Hope LLC
• Embracing Excellence Group Home LLC
• Emmarie Behavioral Home Care. LLC
• Empire Health and Therapy LLC
• EMS Staffing Solutions

• General Practice Dentistry in Laveen, AZ
• Providers in Laveen, 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 Dec 9, 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.

Verify at the official NPI Registry.