Active NPI
Behnoud Taghavi, DMD
- Dentist
- Tucson, AZ
National Provider Identifier
1942565072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D008479
- Practice address
- 1500 W Commerce CT BLDG 3
Tucson, AZ 85746-6076 - Phone
- (520) 670-3909
- Fax
- (520) 309-2560
- NPI assigned
- Jul 4, 2012
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | D008479 | AZ | Primary |
Addresses
Primary practice location
1500 W Commerce CT BLDG 3
Tucson, AZ 85746-6076
Mailing address
839 W Congress St
Tucson, AZ 85745-2819
Phone (520) 670-3909
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160119000742 | AZ | Order and Referring Only - Oral Surgery | 1052614435 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D008479 | AZ | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737936000000",
"number": "1942565072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "839 W CONGRESS ST",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857452819",
"telephone_number": "520-670-3909",
"fax_number": "520-309-2560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 W COMMERCE CT BLDG 3",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857466076",
"telephone_number": "520-670-3909",
"fax_number": "520-309-2560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAGHAVI",
"first_name": "BEHNOUD",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-07-04",
"last_updated": "2025-01-27",
"certification_date": "2025-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "D008479",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; 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.