Shyon Rahimzadeh, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D010711 Issued in AZ

Practice address

20165 N 67TH Ave Ste 103
Glendale, AZ 85308-7003

Phone

(623) 931-5467

NPI assigned

Jun 27, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Darian DDS & Associates PLLC

  • General Practice Dentistry
  • Glendale, AZ
  • NPI 1356516025
  NPD (past)
• G D Dental PLLC

  • Dentist
  • Phoenix, AZ
  • NPI 1497122287
  NPD (past)
• Mesa Dental Arizona LLC

  • Dentist
  • Phoenix, AZ
  • NPI 1447780135
  NPD (past)
• Perfect Teeth - Waddell P.C.

  • General Practice Dentistry
  • Surprise, AZ
  • NPI 1588785729
  NPD (past)
• Southern Dental LLC

  • Dentist
  • Phoenix, AZ
  • NPI 1952249195

  General Practice

  NPD (past)

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

{
    "created_epoch": "1593216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1851918684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20165 N 67TH AVE STE 103",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853087003",
            "telephone_number": "623-931-5467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20165 N 67TH AVE STE 103",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853087003",
            "telephone_number": "623-931-5467"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5555 N 7th St Ste 142",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850142531",
            "country_code": "US",
            "telephone_number": "602-265-8566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAHIMZADEH",
        "first_name": "SHYON",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-27",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D010711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rocky Rafi
• Margaret Rafidi
• Salam Rafique, MD
• Karthik Raghavan, M.D.
• Amanda Rahana, PA-C
• Mandeep K Rai, M.D.
• Madison Raines, RBT
• Bindu E. Rajan, MD
• Kimberlee S Rajec
• Jodie Raker

• General Practice Dentistry in Glendale, AZ
• Providers in Glendale, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; 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.