Individual provider Active NPI

Soheyla Mohammadi Dante, M.D

  • Internal Medicine Physician
  • Chandler, AZ
National Provider Identifier
1861609430
Registry record updated May 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
37660 Issued in AZ
Practice address
3115 S Price Rd
Chandler, AZ 85248-3544
Phone
(480) 926-0170
Fax
(480) 452-0715
NPI assigned
May 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 37660 AZ Primary

Addresses

Primary practice location

3115 S Price Rd
Chandler, AZ 85248-3544

Mailing address

PO Box 7540
Chandler, AZ 85246-7540
Phone (480) 926-0170

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090603000033 AZ Practitioner - Internal Medicine 1557384542 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
37660AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Hospitalist Services of Arizona LLC Current Accepting new patients
Comprehensive Hospitalist Services of Arizona, LLC CurrentSince Dec 1, 2014 Accepting new patients
Pioneer Medical Group PLLC Internal Medicine Past Accepting new patients

Locations

2735 Silver Creek Rd
Bullhead City, AZ 86442
Phone (520) 763-2273

1301 S Crismon Rd
Mesa, AZ 85209
Phone (480) 358-6300

Organizations & group practices 3

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": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242604800000",
    "number": "1861609430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7540",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852467540",
            "telephone_number": "480-926-0170",
            "fax_number": "480-452-0715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 S PRICE RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852483544",
            "telephone_number": "480-926-0170",
            "fax_number": "480-452-0715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANTE",
        "first_name": "SOHEYLA",
        "middle_name": "MOHAMMADI",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2009-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "37660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.