Michael Greg Nadauld, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

010962 Issued in AZ

Practice address

1526 W Glendale Ave Ste 102
Phoenix, AZ 85021-8576

Phone

(602) 995-7279

Fax

(602) 995-7244

NPI assigned

Jul 4, 2015

Reactivated

Apr 28, 2021

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Michael G. Nadauld, DMD PLLC

  • Dental Clinic/Center
  • Phoenix, AZ
  • NPI 1235722331
  NPD Authorized official
• PDC- Lehi Utah

  • General Practice Dentistry
  • Lehl, UT
  • NPI 1851722383
  NPD (past)

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

{
    "created_epoch": "1435968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1972986263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1526 W GLENDALE AVE STE 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850218576",
            "telephone_number": "602-995-7279",
            "fax_number": "602-995-7244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1526 W GLENDALE AVE STE 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850218576",
            "telephone_number": "602-995-7279",
            "fax_number": "602-995-7244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADAULD",
        "first_name": "MICHAEL",
        "middle_name": "GREG",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-04",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "deactivation_date": "2021-03-31",
        "reactivation_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "010962",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "9593673",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arya Nabavieh, M.D.
• Lauren Ashley Nach, PHARMD
• Nacchal Nachiappan, MD
• Kristi Michelle Nachreiner
• Jothi Nadarajah, D.D.S.
• Jayden Nadeau, NP
• Paula Frank Nadell, M.D.
• Mahsaw Elicia Nademin, PHD
• Mandana Naderi, PHARMD, MPH, BCIDP
• Omar Nadhem, M.D.

• Dentist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; 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.