Organization Active NPI

Atlantic Dental

  • General Practice Dentistry
  • Phoenix, AZ
National Provider Identifier
1841353828
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ATLANTIC DENTAL
Practice address
3229 E Greenway Rd
Suite #103
Phoenix, AZ 85032
Phone
(602) 923-0700
Fax
(602) 923-0800
NPI assigned
Dec 19, 2006
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
Dr. Mehrdad Hazrati Ashtinani, DDS
Title
Dentist
Phone
(602) 923-0700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

3229 E Greenway Rd
Suite #103
Phoenix, AZ 85032

Mailing address

3229 E Greenway Rd
Suite #103
Phoenix, AZ 85032
Phone (602) 923-0700

National Provider Directory

National Provider Directory

Locations

3229 E Greenway Rd
Ste 103
Phoenix, AZ 85032
Phone (602) 923-0700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841353828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3229 E GREENWAY RD",
            "address_2": "SUITE #103",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85032",
            "telephone_number": "602-923-0700",
            "fax_number": "602-923-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3229 E GREENWAY RD",
            "address_2": "SUITE #103",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85032",
            "telephone_number": "602-923-0700",
            "fax_number": "602-923-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ASHTINANI",
        "authorized_official_first_name": "MEHRDAD",
        "authorized_official_middle_name": "HAZRATI",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "602-923-0700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "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.