OrganizationActive
Phoenix Oral Surgery Associates PLLC
NPI 1619693793 · Clinic/Center · Phoenix, AZ
Phoenix Oral Surgery Associates PLLC is a Clinic/Center organization in Phoenix, AZ (NPI 1619693793).
Provider details
- NPI number
- 1619693793
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Vishtasb Broumand, Owner(480) 284-8087
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
20950 N Tatum Blvd Ste 200
Phoenix, AZ 85050-4269
Phone: (480) 284-8087
Street-level locationGet directions
Mailing address
20950 N Tatum Blvd Ste 200
Phoenix, AZ 85050-4269
Other names (DBA / former)
- Other name
- Desert Ridge Oral Surgery Institute
Registry dates
- Enumerated
- 2022-10-19
- Last updated
- 2022-10-19
- Certified
- 2022-10-19
Frequently asked questions
- What is Phoenix Oral Surgery Associates PLLC's NPI number?
- Phoenix Oral Surgery Associates PLLC's National Provider Identifier (NPI) is 1619693793, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Phoenix Oral Surgery Associates PLLC?
- Phoenix Oral Surgery Associates PLLC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Phoenix Oral Surgery Associates PLLC located?
- Phoenix Oral Surgery Associates PLLC's practice location on file with NPPES is 20950 N Tatum Blvd Ste 200, Phoenix, AZ 85050-4269.
- What is Phoenix Oral Surgery Associates PLLC's phone number?
- The practice phone number listed in the NPPES registry for Phoenix Oral Surgery Associates PLLC is (480) 284-8087.
- Who is the authorized official for Phoenix Oral Surgery Associates PLLC?
- The authorized official listed on Phoenix Oral Surgery Associates PLLC's NPPES record is Vishtasb Broumand, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Phoenix Oral Surgery Associates PLLC's NPI active?
- Yes — Phoenix Oral Surgery Associates PLLC's NPI (1619693793) is active in the NPPES registry as of the last update on 2022-10-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.