NPIMap

Organization Active NPI

Camelback Pediatric Dentistry and Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Phoenix, AZ
National Provider Identifier
1033288733
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
CAMELBACK PEDIATRIC DENTISTRY AND ORTHODONTICS
Practice address
4901 N 44TH St
#101
Phoenix, AZ 85018-2782
Phone
(602) 595-3531
Fax
(602) 595-3431
NPI assigned
Nov 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Robert Mark Mirabelli, DMD, MSDNPI 1760444830
Title
Pediatric Dentist Practice Owner
Phone
(602) 595-3431

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

4901 N 44TH St
#101
Phoenix, AZ 85018-2782

Mailing address

4901 N 44TH St
#101
Phoenix, AZ 85018-2782
Phone (602) 595-3531

National Provider Directory

National Provider Directory

Locations

4901 N 44th St
Ste 101
Phoenix, AZ 85018
Phone (602) 595-3531

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1033288733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 N 44TH ST",
            "address_2": "#101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850182782",
            "telephone_number": "602-595-3531",
            "fax_number": "602-595-3431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 N 44TH ST",
            "address_2": "#101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850182782",
            "telephone_number": "602-595-3531",
            "fax_number": "602-595-3431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMELBACK PEDIATRIC DENTISTRY AND ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MIRABELLI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST PRACTICE OWNER",
        "authorized_official_telephone_number": "602-595-3431",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MSD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.