NPIMap

Individual provider Active NPI

Rudolf Uvadyev, DMD

  • Dentist
  • Phoenix, AZ
National Provider Identifier
1831738798
Registry record updated Dec 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10542 Issued in AZ
Practice address
318 W Muriel Dr
Phoenix, AZ 85023-6524
Phone
(602) 334-3727
NPI assigned
Dec 24, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 10542 AZ Primary

Addresses

Primary practice location

318 W Muriel Dr
Phoenix, AZ 85023-6524

Mailing address

318 W Muriel Dr
Phoenix, AZ 85023-6524
Phone (602) 334-3727

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

Practice roles

OrganizationSpecialtyStatusNew patients
Delicate Dental Group LLC Dentist Current Accepting new patients
A 19TH Avenue Dental Care Dentist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1577145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577145600000",
    "number": "1831738798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 W MURIEL DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850236524",
            "telephone_number": "602-334-3727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 W MURIEL DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850236524",
            "telephone_number": "602-334-3727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UVADYEV",
        "first_name": "RUDOLF",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-24",
        "last_updated": "2019-12-24",
        "certification_date": "2019-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "10542",
            "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 Dec 24, 2019; 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.