Active NPI
Abdullah Ahmad, DMD
- Dentist
- Sun City, AZ
National Provider Identifier
1891346003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D010437
- Practice address
- 10220 W Bell Rd Ste 104
Sun City, AZ 85351-1179 - Phone
- (623) 300-5432
- NPI assigned
- Sep 28, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | D010437 | AZ | Primary |
Addresses
Primary practice location
10220 W Bell Rd Ste 104
Sun City, AZ 85351-1179
Mailing address
4950 W Tonto Rd
Glendale, AZ 85308-9222
Phone (914) 621-6878
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 |
|---|---|---|---|
| D010437 | AZ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Aesthetic | Current | Accepting new patients | |
| Modern Dental Professionals Az, PC | Past | Accepting new patients |
Locations
10220 W Bell Rd
Ste 104
Sun City, AZ 85351
Phone (623) 300-5432
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.
-
- Dental Clinic/Center
- Sun City, AZ
- NPI 1144975798
-
- General Practice Dentistry
- Chandler, AZ
- NPI 1376814012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644624000000",
"number": "1891346003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4950 W TONTO RD",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853089222",
"telephone_number": "914-621-6878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10220 W BELL RD STE 104",
"city": "SUN CITY",
"state": "AZ",
"postal_code": "853511179",
"telephone_number": "623-300-5432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHMAD",
"first_name": "ABDULLAH",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-09-28",
"last_updated": "2022-02-12",
"certification_date": "2022-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "D010437",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sun City, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.