Individual provider Active NPI

Morteza Zamani, D.M.D

  • Dentist
  • Gilbert, AZ
National Provider Identifier
1891908315
Registry record updated Dec 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D7203 Issued in AZ
Practice address
130 W Guadalupe Rd
Apt#2058
Gilbert, AZ 85233-3328
Phone
(602) 301-2441
NPI assigned
May 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D7203 AZ Primary

Addresses

Primary practice location

130 W Guadalupe Rd
Apt#2058
Gilbert, AZ 85233-3328

Mailing address

130 W Guadalupe Rd
Apt# 2058
Gilbert, AZ 85233-3328
Phone (602) 301-2441

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150908001921 AZ Order and Referring Only - DentistPractitioner - Dentist 3274849195

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D7203AZMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Western Dental of Arizona, Inc. General Practice Past Accepting new patients

Organizations & group practices 1

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": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323820800000",
    "number": "1891908315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 W GUADALUPE RD",
            "address_2": "APT# 2058",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852333328",
            "telephone_number": "602-301-2441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 W GUADALUPE RD",
            "address_2": "APT#2058",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852333328",
            "telephone_number": "602-301-2441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAMANI",
        "first_name": "MORTEZA",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2011-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D7203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.