Individual provider Active NPI

Masood Sirjani, DDS, PHARM.D.

  • Endodontics
  • Chandler, AZ
National Provider Identifier
1992017149
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
D7571 Issued in AZ
Practice address
2979 W Elliot Rd
Chandler, AZ 85224-1641
Phone
(480) 775-1300
Fax
(480) 775-1304
NPI assigned
Jul 4, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 7571 AZ
Endodontics 1223E0200X D7571 AZ Primary

Addresses

Primary practice location

2979 W Elliot Rd
Chandler, AZ 85224-1641

Mailing address

706 E Bell Rd Ste 104
Phoenix, AZ 85022-6641
Phone (602) 482-7000

Other practice location 1

1446 Butler Ave Apt 11
Los Angeles, CA 90025-2498
Phone (520) 481-6098

Other identifiers 1

IdentifierTypeStateIssuer
7571OtherAZSTATE BOARD LICENSE

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
7571AZMDDentist
D7571AZMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Ocotillo Lakes Endodontics, LLC Endodontics Current Accepting new patients

Locations

3200 S Alma School Rd
Ste 203
Chandler, AZ 85248
Phone (914) 439-3638

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": "1278201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1992017149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 E BELL RD STE 104",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850226641",
            "telephone_number": "602-482-7000",
            "fax_number": "602-482-7021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2979 W ELLIOT RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852241641",
            "telephone_number": "480-775-1300",
            "fax_number": "480-775-1304"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1446 Butler Ave Apt 11",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900252498",
            "country_code": "US",
            "telephone_number": "520-481-6098",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIRJANI",
        "first_name": "MASOOD",
        "name_prefix": "Dr.",
        "credential": "DDS, PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-04",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "7571",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "AZ",
            "license": "D7571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD LICENSE",
            "identifier": "7571",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.