Active NPI
Allen Peyghambarian, D.D.S.
- General Practice Dentistry
- Phoenix, AZ
National Provider Identifier
1942533237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5724
- Practice address
- 4045 E Union Hills Dr Ste 102a
Phoenix, AZ 85050-3391 - Phone
- (602) 867-8488
- Fax
- (602) 867-8488
- NPI assigned
- Sep 17, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5724 | AZ | Primary |
Addresses
Primary practice location
4045 E Union Hills Dr Ste 102a
Phoenix, AZ 85050-3391
Mailing address
4045 E Union Hills Dr Ste 102a
Phoenix, AZ 85050-3391
Phone (602) 867-8488
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 11, 2017 through Apr 11, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5724 | AZ | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allen Peyghambarian D.D.S.,PLLC | General Practice | Past | Accepting new patients |
Interoperability endpoints
- apeyghambarian18537@direct.midwestern.edu
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": "1253145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253145600000",
"number": "1942533237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4045 E UNION HILLS DR STE 102A",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850503391",
"telephone_number": "602-867-8488",
"fax_number": "602-867-8488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4045 E UNION HILLS DR STE 102A",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850503391",
"telephone_number": "602-867-8488",
"fax_number": "602-867-8488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEYGHAMBARIAN",
"first_name": "ALLEN",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-09-17",
"last_updated": "2009-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "5724",
"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 Sep 17, 2009; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.