Individual provider Active NPI

Arad Samadnejad, DMD

  • Dentist
  • Scottsdale, AZ
National Provider Identifier
1790356012
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D011191 Issued in AZ
Practice address
23425 N Scottsdale Rd Ste A108-109
Scottsdale, AZ 85255-3469
Phone
(480) 463-8800
Fax
(480) 806-1440
NPI assigned
Jul 7, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401417735 VA
Dentist 122300000X D011191 AZ Primary
Dentist 122300000X 17485 MD

Addresses

Primary practice location

23425 N Scottsdale Rd Ste A108-109
Scottsdale, AZ 85255-3469

Mailing address

23425 N Scottsdale Rd Ste A108-109
Scottsdale, AZ 85255-3469

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
I20211029002304 AZ Order and Referring Only - DentistPractitioner - Other (Physician)Practitioner - Dentist 4587052204

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17485MDMDClinical Social Worker
D011191AZMDDentist
0401417735VAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Dental Professionals, P.C. CurrentSince Jun 30, 2024 Accepting new patients
Dandon Dental PLLC CurrentSince Nov 9, 2025 Accepting new patients
Signal Butte Kids Dentistry and Orthodontics, LLP Dentist PastSince Sep 1, 2021 Accepting new patients
Arizona Dental Professionals, P.C. PastSince Mar 1, 2024 Accepting new patients

Locations

23425 N Scottsdale Rd
Ste A108109
Scottsdale, AZ 85255
Phone (480) 463-8800

15432 W Greenway Rd
Ste 100
Surprise, AZ 85374
Phone (623) 274-2795

Organizations & group practices 4

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": "1625616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1790356012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23425 N SCOTTSDALE RD STE A108-109",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852553469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23425 N SCOTTSDALE RD STE A108-109",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852553469",
            "telephone_number": "480-463-8800",
            "fax_number": "480-806-1440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMADNEJAD",
        "first_name": "ARAD",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-07",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401417735",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D011191",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "17485",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.