Active NPI
Haifaa Ibrahim
- Dentist
- Surprise, AZ
National Provider Identifier
1982271110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D012306
- Practice address
- 16581 W Bell Rd Ste 108
Surprise, AZ 85374-0004 - Phone
- (480) 795-2420
- NPI assigned
- Jun 7, 2021
- Sex
- Female
- 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 | D012306 | AZ | Primary |
Addresses
Primary practice location
16581 W Bell Rd Ste 108
Surprise, AZ 85374-0004
Mailing address
8208 E Buena Terra Way
Scottsdale, AZ 85250-6610
Phone (480) 616-9098
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
| License | State | Type | Specialty |
|---|---|---|---|
| D012306 | AZ | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733184000000",
"number": "1982271110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8208 E BUENA TERRA WAY",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852506610",
"telephone_number": "480-616-9098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16581 W BELL RD STE 108",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853740004",
"telephone_number": "480-795-2420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IBRAHIM",
"first_name": "HAIFAA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-07",
"last_updated": "2024-12-03",
"certification_date": "2024-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "D012306",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Surprise, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.