Active NPI
Masood Sirjani, DDS, PHARM.D.
- Endodontics
- Chandler, AZ
National Provider Identifier
1992017149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- D7571
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7571 | Other | AZ | STATE 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
| License | State | Type | Specialty |
|---|---|---|---|
| 7571 | AZ | MD | Dentist |
| D7571 | AZ | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Endodontics
- Chandler, AZ
- NPI 1275005688
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.