Active NPI
Arad Samadnejad, DMD
- Dentist
- Scottsdale, AZ
National Provider Identifier
1790356012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D011191
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211029002304 | AZ | Order and Referring Only - Dentist | 4587052204 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17485 | MD | MD | Clinical Social Worker |
| D011191 | AZ | MD | Dentist |
| 0401417735 | VA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Dental Professionals, P.C. | Current | Accepting new patients | |
| Dandon Dental PLLC | Current | Accepting new patients | |
| Signal Butte Kids Dentistry and Orthodontics, LLP | Dentist | Past | Accepting new patients |
| Arizona Dental Professionals, P.C. | Past | 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.
-
- General Practice Dentistry
- Scottsdale, AZ
- NPI 1053281121
-
- General Practice Dentistry
- Surprise, AZ
- NPI 1639939226
-
- General Practice Dentistry
- Sun City West, AZ
- NPI 1851933857
-
- Dentist
- Mesa, AZ
- NPI 1588200265
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; 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.