Active NPI
Azadeh Amini
- General Practice Dentistry
- Glendale, AZ
National Provider Identifier
1821776147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D011861
- Practice address
- 7701 W Saint John Rd Apt 2143
Glendale, AZ 85308-0850 - Phone
- (281) 912-4674
- NPI assigned
- Jul 6, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D011861 | AZ | Primary |
Addresses
Primary practice location
7701 W Saint John Rd Apt 2143
Glendale, AZ 85308-0850
Mailing address
7701 W Saint John Rd Apt 2143
Glendale, AZ 85308-0850
Phone (281) 912-4674
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 |
|---|---|---|---|
| D011861 | AZ | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688601600000",
"number": "1821776147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7701 W SAINT JOHN RD APT 2143",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853080850",
"telephone_number": "281-912-4674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7701 W SAINT JOHN RD APT 2143",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853080850",
"telephone_number": "281-912-4674"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMINI",
"first_name": "AZADEH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-06",
"last_updated": "2023-07-06",
"certification_date": "2023-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "D011861",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.