Active NPI
Shaghayegh Fahandez Sadi, DMD
- Dentist
- Phoenix, AZ
National Provider Identifier
1922827005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D012177
- Practice address
- 2248 W Bonanza LN
Phoenix, AZ 85085-5762 - Phone
- (602) 393-8224
- NPI assigned
- Oct 7, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D012177 | AZ | |
| Dentist | 122300000X | D012177 | AZ | Primary |
Addresses
Primary practice location
2248 W Bonanza LN
Phoenix, AZ 85085-5762
Mailing address
2248 W Bonanza LN
Phoenix, AZ 85085-5762
Phone (602) 393-8224
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 |
|---|---|---|---|
| D012177 | AZ | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728259200000",
"number": "1922827005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2248 W BONANZA LN",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850855762",
"telephone_number": "602-393-8224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2248 W BONANZA LN",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850855762",
"telephone_number": "602-393-8224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAHANDEZ SADI",
"first_name": "SHAGHAYEGH",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-07",
"last_updated": "2024-10-07",
"certification_date": "2024-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "D012177",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "D012177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.