DR. NIPUN MAHAJAN DDS
NPI 1699325985
Oral & Maxillofacial Surgery in Phoenix, AZ

Q: What is Nipun Mahajan's NPI number?

The NPI number for Nipun Mahajan is 1699325985. It was assigned to this individual provider in the NPPES registry on September 18, 2019.

Q: What is Nipun Mahajan's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Q: When was this NPI record last updated?

The NPPES record for Nipun Mahajan was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since September 18, 2019PECOS Enrolled

1441 N 12TH ST, PHOENIX, AZ 85006(602) 521-5150 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 11, 2025, Sep 18, 2019 (2 updates tracked since 2019).

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About Dr. Nipun Mahajan Dds NPPES

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

DR. NIPUN MAHAJAN DDS (NPI 1699325985) is an individual oral & maxillofacial surgery provider in Phoenix, Arizona, licensed in Arizona (D012458) and active in the NPI registry since September 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699325985

Entity TypeIndividualMale

Primary Taxonomy204E00000X

Provider Legal NameDR. NIPUN MAHAJANCredential: DDS

Location Address1441 N 12TH STPhoenix, AZ 85006-2837

Mailing Address6920 S Cimarron Rd # 100Las Vegas, NV 89113-2135 · (415) 792-9178

Phone(602) 521-5150

Sole ProprietorNo

Enumeration DateSeptember 18, 2019

Last NPPES UpdateJune 11, 20252 updates tracked since enumeration

NPPES CertifiedJune 11, 2025

✔ NPI 1699325985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code204E00000X

License✔ Licensed in AZ · D012458

Definition

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

1441 N 12TH ST, Phoenix, AZ 85006

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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. Nipun Mahajan Dds 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.

Other Providers at the Same Location NPPES 20

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

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