NPIMap

Organization Active NPI

Adel Shayegan DMD PC

  • General Practice Dentistry
  • Phoenix, AZ
National Provider Identifier
1801008248
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4772 Issued in AZ
Legal business name
ADEL SHAYEGAN DMD PC
Practice address
4203 E Indian School Rd
# 220
Phoenix, AZ 85018-5359
Phone
(602) 955-1780
Fax
(602) 955-1153
NPI assigned
May 6, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Adel Shayegan, DMD
Title
President
Phone
(602) 955-1780

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 4772 AZ Primary

Addresses

Primary practice location

4203 E Indian School Rd
# 220
Phoenix, AZ 85018-5359

Mailing address

4203 E Indian School Rd
# 220
Phoenix, AZ 85018-5359
Phone (602) 955-1780

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1178409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801008248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4203 E INDIAN SCHOOL RD",
            "address_2": "# 220",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850185359",
            "telephone_number": "602-955-1780",
            "fax_number": "602-955-1153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4203 E INDIAN SCHOOL RD",
            "address_2": "# 220",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850185359",
            "telephone_number": "602-955-1780",
            "fax_number": "602-955-1153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADEL SHAYEGAN DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHAYEGAN",
        "authorized_official_first_name": "ADEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-955-1780",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "4772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.