Kamran Fattah, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D009597 Issued in AZ

Practice address

8055 N Via de Negocio
Scottsdale, AZ 85258-4313

Phone

(480) 607-6937

Fax

(480) 607-6973

NPI assigned

May 3, 2007

Last updated

Dec 8, 2017By the provider in NPPES

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 OR

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fattah Family Dentistry, PC

  dba Scottsdale Family Dentistry

  • Dental Clinic/Center
  • Scottsdale, AZ
  • NPI 1023523396
  NPD (past) Authorized official
• Lux Dental Group of Arizona LLC

  • General Practice Dentistry
  • Scottsdale, AZ
  • NPI 1386030567
  NPD (past)

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512691200000",
    "number": "1932321130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8055 N VIA DE NEGOCIO",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584313",
            "telephone_number": "480-607-6937",
            "fax_number": "480-607-6973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8055 N VIA DE NEGOCIO",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584313",
            "telephone_number": "480-607-6937",
            "fax_number": "480-607-6973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATTAH",
        "first_name": "KAMRAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2017-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D8308",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D009597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faspsych, LLC
• Fast Medical Care Tras
• Fast Trans
• Ramin Fathi, MD
• Fattah Family Dentistry, PC (Scottsdale Family Dentistry)
• William A Faubion, M.D.
• Veena Fauble, MD
• Melissa Faulk, PA
• Dorothy Faust-Davis
• Amy Lauren Faustinos, PA-C

• General Practice Dentistry in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2017; 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.