Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114580354 Individual Practitioner Male Practitioner

Bobby Keyvan-Jafari

Dentist - General Practice • Phoenix, AZ

Professional Overview & Biography Verified Profile Summary

Bobby Keyvan-Jafari is a registered healthcare professional specializing in Dentist - General Practice in Phoenix, AZ. Practice services are available at 230 S 12TH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

230 S 12th Ave

Phoenix, AZ 850073101

Telephone 6023620744
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.2 Yrs
State Avg: 16.4 Yrs
Regional Practice Density
483 Specialists

Practicing in Phoenix, AZ (2600 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-03-10
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License AZ D010563

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
NPI 1003336215

Doctor of Dental Surgery

Nashid Ahmed

Dentist - General Practice

NPI 1124581624
NPI 1154780088
NPI 1801328638

Doctor of Dental Medicine

NPI 1801530373

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 10, 2025

Dentist (License #D010563 in AZ)

NPI Profile Active April 14, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location April 14, 2019

Registered at 230 S 12TH AVE, PHOENIX, AZ 850073101 (Tel: 6023620744)

📍
Updated Business Mailing Address April 14, 2019

Registered at 9306 E DREYFUS PL, SCOTTSDALE, AZ 852607405 (Tel: 6022282278)

👤
Provider Name / Credentials Updated April 14, 2019

Recorded as BOBBY KEYVAN-JAFARI

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 14, 2019

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 14, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114580354
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 14, 2019
Last Update: March 10, 2025
Sole Proprietor: No

Mailing Address

9306 E Dreyfus Pl

Scottsdale, AZ 852607405

Phone: 6022282278

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.