Active NPI
Moayad Adnan Zawahra, DMD
- Dentist
- Apache Junction, AZ
National Provider Identifier
1811630585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D011456
- Practice address
- 95 S Idaho Rd Ste 100
Apache Junction, AZ 85119-0006 - Phone
- (480) 867-4586
- NPI assigned
- Apr 19, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D011456 | AZ | Primary |
Addresses
Primary practice location
95 S Idaho Rd Ste 100
Apache Junction, AZ 85119-0006
Mailing address
4906 E Brown Rd Unit 8
Mesa, AZ 85205-4263
Phone (313) 415-4612
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D011456 | AZ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Canyon Modern Dentistry & Orthodontics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dental Clinic/Center
- Surprise, AZ
- NPI 1366848897
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670198400000",
"number": "1811630585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4906 E BROWN RD UNIT 8",
"city": "MESA",
"state": "AZ",
"postal_code": "852054263",
"telephone_number": "313-415-4612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 S IDAHO RD STE 100",
"city": "APACHE JUNCTION",
"state": "AZ",
"postal_code": "851190006",
"telephone_number": "480-867-4586"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAWAHRA",
"first_name": "MOAYAD",
"middle_name": "ADNAN",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-04-19",
"last_updated": "2022-12-05",
"certification_date": "2022-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "D011456",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Apache Junction, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.