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DR. AHMED AL EZZI DMD
NPI 1417635053
Dentist in Surprise, AZ

Active since July 05, 2023PECOS Enrolled
17081 W GREENWAY RD, SURPRISE, AZ 85388(623) 546-8400 Get Directions Write a Review

NPPES record last updated: March 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 16, 2026, Jul 5, 2023 (2 updates tracked since 2023).

About Dr. Ahmed Al Ezzi Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. AHMED AL EZZI DMD (NPI 1417635053) is an individual dentist in Surprise, Arizona, licensed in Arizona (D011892) and active in the NPI registry since July 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Phoenix.

NPPES Registry Identity

NPI1417635053
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. AHMED AL EZZICredential: DMD
Location Address17081 W GREENWAY RDSurprise, AZ 85388-9612
Mailing Address8809 N 67th DrPeoria, AZ 85345-8401 · (623) 628-4731
Phone(623) 546-8400
Sole ProprietorNo
Enumeration DateJuly 5, 2023
Last NPPES UpdateMarch 16, 20262 updates tracked since enumeration
NPPES CertifiedMarch 16, 2026
✔ NPI 1417635053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in AZ · D011892
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
17081 W GREENWAY RD, Surprise, AZ 85388
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Secondary Practice Location 1

Location 1731 E Union Hills DrPhoenix, AZ 85024-2900 · Phone (602) 613-8004

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, BEST Life and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ahmed Al Ezzi Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85388 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. AMISH B PATEL DDS
Dentist (General Practice)
17081 W GREENWAY RD, SUITE 121
SURPRISE, AZ 85388
Maricopa County (623) 546-8400
CANYON MODERN DENTISTRY & ORTHODONTICS
Clinic/Center (Dental)
17081 W GREENWAY RD, SUITE 120
SURPRISE, AZ 85388
Maricopa County (623) 546-8400
DR. MOHAMMED REZA KHAKWANI D.M.D.
Dentist
17081 W GREENWAY RD, SUITE 120
SURPRISE, AZ 85388
Maricopa County (623) 546-8400
DR. HUNTER SCOTT ROWE D.M.D.
Dentist (General Practice)
17081 W GREENWAY RD
SURPRISE, AZ 85388
Maricopa County (623) 546-8400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ahmed Al Ezzi's NPI number?

The NPI number for Ahmed Al Ezzi is 1417635053. It was assigned to this individual provider in the NPPES registry on July 5, 2023.

Where is Ahmed Al Ezzi located?

Ahmed Al Ezzi practices at 17081 W Greenway Rd, Surprise, AZ 85388. The listed phone number is (623) 546-8400.

What is Ahmed Al Ezzi's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Ahmed Al Ezzi enrolled in Medicare?

Yes. Ahmed Al Ezzi is registered in the Medicare PECOS enrollment system.

What insurance does Ahmed Al Ezzi accept?

Health plans from Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross Blue Shield of Arizona and Blue Cross and Blue Shield of Alabama and 15 other insurers list Ahmed Al Ezzi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ahmed Al Ezzi was last updated on March 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.