Individual provider Active NPI

Seena Patel, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Phoenix, AZ
National Provider Identifier
1790040749
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
D8096 Issued in AZ
Practice address
10214 N Tatum Blvd Ste A1100
Phoenix, AZ 85028-4243
Phone
(602) 992-1486
NPI assigned
Jul 5, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X D8096 AZ Primary
Dentist 122300000X D8096 AZ
Oral Medicine Dentistry 125Q00000X D8096 AZ
Orofacial Pain Dentistry 1223X2210X D8096 AZ

Addresses

Primary practice location

10214 N Tatum Blvd Ste A1100
Phoenix, AZ 85028-4243

Mailing address

10214 N Tatum Blvd Ste A100
Phoenix, AZ 85028-4231
Phone (602) 992-1486

Other practice location 1

5835 E Still Cir
Mesa, AZ 85206-3618
Phone (480) 248-8107

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20121110000161 AZ Practitioner - Oral Surgery 9638320179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Orofacial Group IncGroup PAC ID 4981786308, 4 clinicians

Practice addresses (Care Compare)

10214 N Tatum Blvd
Suite A1100
Phoenix, AZ 85028-4243
Phone (602) 992-1486

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D8096AZMDOral Medicinist

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Orofacial Group, Inc. Dentist Current Accepting new patients
Southwest Orofacial Group, Inc. Dentist CurrentSince Aug 29, 2012 Accepting new patients
Southwest Orofacial Group, Inc. Dentist CurrentSince Aug 29, 2012 Accepting new patients

Locations

20100 N 51st Ave
Ste F650
Glendale, AZ 85308
Phone (602) 992-1486

20470 N Lake Pleasant Rd
Ste 110
Peoria, AZ 85382
Phone (602) 992-1486

14861 N Cave Creek Rd
Phoenix, AZ 85032
Phone (602) 494-1548

10214 N Tatum Blvd
Ste A100
Phoenix, AZ 85028

10214 N Tatum Blvd
Ste A1100
Phoenix, AZ 85028
Phone (602) 992-1486

2034 E Southern Ave
Ste E
Tempe, AZ 85282
Phone (480) 777-0077

Interoperability endpoints

  • Direct secure messaging: southwestorofacialgroup.seenapatel@141723.advancedmd-direct.com

Organizations & group practices 3

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": "1341446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1790040749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10214 N TATUM BLVD STE A100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850284231",
            "telephone_number": "602-992-1486",
            "fax_number": "602-992-6604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10214 N TATUM BLVD STE A1100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850284243",
            "telephone_number": "602-992-1486"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5835 E Still Cir",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852063618",
            "country_code": "US",
            "telephone_number": "480-248-8107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SEENA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-05",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "AZ",
            "license": "D8096",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D8096",
            "primary": false
        },
        {
            "code": "125Q00000X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral Medicine",
            "state": "AZ",
            "license": "D8096",
            "primary": false
        },
        {
            "code": "1223X2210X",
            "taxonomy_group": "",
            "desc": "Dentist, Orofacial Pain",
            "state": "AZ",
            "license": "D8096",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.