Mostafa Hedayat

Primary specialty

DentistTaxonomy code 122300000X

License

D011120 Issued in AZ

Practice address

5045 W Baseline Rd
Laveen, AZ 85339-7392

Phone

(602) 237-0613

NPI assigned

Jul 19, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1922671023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5045 W BASELINE RD",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853397392",
            "telephone_number": "602-237-0613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5045 W BASELINE RD",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853397392",
            "telephone_number": "602-237-0613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDAYAT",
        "first_name": "MOSTAFA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-19",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D011120",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D011120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harmony Living Facility LLC
• Hawa Yareey Business Center LLC
• Healthnex Integrative Care
• Hearts Home LLC
• Heaven Can Wait Assisted Living, LLC
• Heritage Academy Laveen, Inc.
• Lien Herrero Herrera
• HG Mama Coach LLC
• Brian Hiapo Jr., DPM
• Consuelo Hidalgo, LCSW

• Dentist in Laveen, AZ
• Providers in Laveen, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.