Organization Active NPI

Sepideh Malekpour, DDS, PLLC

  • General Practice Dentistry
  • Glendale, AZ
National Provider Identifier
1922067404
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D5434 Issued in AZ
Legal business name
SEPIDEH MALEKPOUR, DDS, PLLC
Practice address
18301 N 79TH Ave
Suite G-186
Glendale, AZ 85308-8463
Phone
(623) 776-2494
NPI assigned
Mar 22, 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
Sepideh Malekpour, DDSNPI 1205973617
Title
Owner
Phone
(623) 776-2494

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 SINGLE SPECIALTY GROUP 1223G0001X D5434 AZ Primary

Addresses

Primary practice location

18301 N 79TH Ave
Suite G-186
Glendale, AZ 85308-8463

Mailing address

18301 N 79TH Ave
Suite G-186
Glendale, AZ 85308-8463
Phone (623) 776-2494

Other names 1

  • Arrowhead Desert Dental Doing business as

National Provider Directory

National Provider Directory

Locations

18301 N 79th Ave
Ste G186
Glendale, AZ 85308
Phone (480) 208-3079

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": "1142985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922067404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18301 N 79TH AVE",
            "address_2": "SUITE G-186",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088463",
            "telephone_number": "623-776-2494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18301 N 79TH AVE",
            "address_2": "SUITE G-186",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088463",
            "telephone_number": "623-776-2494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEPIDEH MALEKPOUR, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MALEKPOUR",
        "authorized_official_first_name": "SEPIDEH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-776-2494",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D5434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arrowhead Desert Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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.