Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1609921980 Individual Practitioner Male Practitioner

Dr. Shuaib M Khaderi , DMD

Dentist - General Practice • Phoenix, AZ

Professional Overview & Biography Verified Profile Summary

Dr. Shuaib Khaderi, DMD is a registered healthcare professional specializing in Dentist - General Practice in Phoenix, AZ. Practice services are available at 1525 W THOMAS RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1525 W Thomas Rd

Phoenix, AZ 850156102

Telephone 6022639039
Fax 6022639071
Associated Practice Facility / Clinic
🏢 Nobuaki Management Facility NPI 1821323635

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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License AZ 5455

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.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1525 W THOMAS RD, PHOENIX, AZ 850156102 (Tel: 6022639039)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1525 W THOMAS RD, PHOENIX, AZ 850156102 (Tel: 6022639039)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as SHUAIB KHADERI, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #5455 in AZ)

🟢
Initial NPI Registration & Enumeration January 24, 2007

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: 1609921980
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 24, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

1525 W Thomas Rd

Phoenix, AZ 850156102

Phone: 6022639039

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.