NPIMap

Organization Active NPI

A&a Family Dentistry

  • General Practice Dentistry
  • Glendale, AZ
National Provider Identifier
1891878765
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D5414 Issued in AZ
Legal business name
A&A FAMILY DENTISTRY
Practice address
6040 N 43Rd Ave Ste 4
Glendale, AZ 85301-5481
Phone
(623) 218-2222
Fax
(623) 218-2221
NPI assigned
Oct 23, 2006
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. Payam AbediNPI 1376524942
Title
President/Owner
Phone
(623) 218-2222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X D5414 AZ Primary

Addresses

Primary practice location

6040 N 43Rd Ave Ste 4
Glendale, AZ 85301-5481

Mailing address

6040 N 43Rd Ave Ste 4
Glendale, AZ 85301-5481
Phone (623) 218-2222

National Provider Directory

National Provider Directory

Locations

6040 N 43rd Ave
Ste 4
Glendale, AZ 85301
Phone (623) 218-2222

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891878765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6040 N 43RD AVE STE 4",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853015481",
            "telephone_number": "623-218-2222",
            "fax_number": "623-218-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6040 N 43RD AVE STE 4",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853015481",
            "telephone_number": "623-218-2222",
            "fax_number": "623-218-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A&A FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ABEDI",
        "authorized_official_first_name": "PAYAM",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "623-218-2222",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D5414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, 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.