Active NPI
Robert Dean Rierson, MD
- Obstetrics & Gynecology Physician
- Phoenix, AZ
National Provider Identifier
1053373100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 7662
- Practice address
- 1300 N 12TH St
Suite 501
Phoenix, AZ 85006-2848 - Phone
- (602) 839-4915
- Fax
- (602) 839-5112
- NPI assigned
- Apr 4, 2006
- Last updated
- Jul 18, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 7662 | AZ | Primary |
Addresses
Primary practice location
1300 N 12TH St
Suite 501
Phoenix, AZ 85006-2848
Mailing address
9868 E Sidewinder TRL
Scottsdale, AZ 85262-4400
Phone (480) 483-8113
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 233388 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7662 | AZ | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374105600000",
"number": "1053373100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9868 E SIDEWINDER TRL",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852624400",
"telephone_number": "480-483-8113",
"fax_number": "480-483-8113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 N 12TH ST",
"address_2": "SUITE 501",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850062848",
"telephone_number": "602-839-4915",
"fax_number": "602-839-5112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIERSON",
"first_name": "ROBERT",
"middle_name": "DEAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-04",
"last_updated": "2013-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "AZ",
"license": "7662",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "233388",
"state": "AZ"
}
],
"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 Jul 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.