Individual provider Active NPI

Arjun Singh Sall, D.D.S

  • General Practice Dentistry
  • Phoenix, AZ
National Provider Identifier
1972477941
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D012594 Issued in AZ
Practice address
4855 E Warner Rd Ste B9
Phoenix, AZ 85044-3308
Phone
(480) 753-9063
Fax
(480) 753-5269
NPI assigned
Oct 2, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D012594 AZ Primary

Addresses

Primary practice location

4855 E Warner Rd Ste B9
Phoenix, AZ 85044-3308

Mailing address

4855 E Warner Rd Ste B9
Phoenix, AZ 85044-3308
Phone (480) 753-9063

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

LicenseStateTypeSpecialty
D012594AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Rahul G. Kode DDS General Practice PastSince Oct 5, 2025 Accepting new patients

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": "1759363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1972477941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4855 E WARNER RD STE B9",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850443308",
            "telephone_number": "480-753-9063",
            "fax_number": "480-753-5269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4855 E WARNER RD STE B9",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850443308",
            "telephone_number": "480-753-9063",
            "fax_number": "480-753-5269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALL",
        "first_name": "ARJUN",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-10-02",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D012594",
            "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 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.