Organization Active NPI

Yehia Imam, DDS PC

  • General Practice Dentistry
  • Tempe, AZ
National Provider Identifier
1801923800
Registry record updated Mar 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D3255 Issued in AZ
Legal business name
YEHIA IMAM, DDS PC
Practice address
2034 E Southern Ave
Suite a
Tempe, AZ 85282-7522
Phone
(480) 775-8056
Fax
(480) 775-8064
NPI assigned
Feb 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2013

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

Authorized official

Name
Yehia Aly Imam, DDS
Title
President
Phone
(480) 775-8056

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D3255 AZ Primary

Addresses

Primary practice location

2034 E Southern Ave
Suite a
Tempe, AZ 85282-7522

Mailing address

4939 W. Ray Rd.
4321
Chandler, AZ 85226-2065
Phone (480) 775-8056

National Provider Directory

National Provider Directory

Locations

4939 W Ray Rd
#4321
Chandler, AZ 85226

2034 E Southern Ave
Ste A
Tempe, AZ 85282
Phone (480) 442-0011

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363219200000",
    "number": "1801923800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4939 W. RAY RD.",
            "address_2": "4321",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852262065",
            "telephone_number": "480-775-8056",
            "fax_number": "480-775-8064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2034 E SOUTHERN AVE",
            "address_2": "SUITE A",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827522",
            "telephone_number": "480-775-8056",
            "fax_number": "480-775-8064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YEHIA IMAM, DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2013-03-14",
        "status": "A",
        "authorized_official_last_name": "IMAM",
        "authorized_official_first_name": "YEHIA",
        "authorized_official_middle_name": "ALY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-775-8056",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D3255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2013; 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.