Individual provider Active NPI

David Jourabchi, DDS

  • Pediatric Dentistry
  • Phoenix, AZ
National Provider Identifier
1972023372
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
D010755 Issued in AZ
Practice address
1601 E Bell Rd Ste A13
Phoenix, AZ 85022-6254
Phone
(480) 863-3368
NPI assigned
Jun 27, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X D010755 AZ Primary

Addresses

Primary practice location

1601 E Bell Rd Ste A13
Phoenix, AZ 85022-6254

Mailing address

1601 E Bell Rd Ste A13
Phoenix, AZ 85022-6254
Phone (480) 863-3368

Other practice location 1

380 Butterfly Gardens Dr
Columbus, OH 43215-7508
Phone (818) 605-2081

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20190215000391 NY Order and Referring Only - DentistPractitioner - Dentist 6709124894

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D010755AZMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Kids Dental Spot PLLC Pediatric Dentistry CurrentSince Dec 15, 2024 Accepting new patients
Pacific Dental Services Foundation CurrentSince Jul 1, 2020 Accepting new patients
Westwood Kids Dental a Professional Dental Corporation Pediatric Dentistry Current Accepting new patients

Locations

1601 E Bell Rd
Ste A13
Phoenix, AZ 85022
Phone (480) 863-3368

4550 E Bell Rd
Ste 106
Phoenix, AZ 85032
Phone (602) 344-9530

Organizations & group practices 3

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": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1972023372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 E BELL RD STE A13",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850226254",
            "telephone_number": "480-863-3368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E BELL RD STE A13",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850226254",
            "telephone_number": "480-863-3368"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "380 Butterfly Gardens Dr",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432157508",
            "country_code": "US",
            "telephone_number": "818-605-2081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOURABCHI",
        "first_name": "DAVID",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-27",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AZ",
            "license": "D010755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.