Active NPI
Dinna Rosenthal, MD
- Pediatrics Physician
- Phoenix, AZ
National Provider Identifier
1093811952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 54388
- Practice address
- 6601 W Thomas Rd
Phoenix, AZ 85033-5700 - Phone
- (602) 243-7277
- Fax
- (623) 247-9742
- NPI assigned
- Sep 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 208000000X | GA | |
| Pediatrics Physician | 208000000X | 54388 | AZ | Primary |
Addresses
Primary practice location
6601 W Thomas Rd
Phoenix, AZ 85033-5700
Mailing address
3003 N Central Ave Ste 1600
Phoenix, AZ 85012-2908
Phone (602) 323-3344
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 820483 | Other | GA | BLUE CROSS BLUE SHIELD |
| 272334 | Medicaid | AZ | |
| 000882868A | Medicaid | GA |
Other names 1
- Dinna De Castro
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54388 | AZ | MD | Pediatrics Physician |
| 208000000X | GA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain Park Health Center | Current | Accepting new patients | |
| Mountain Park Health Center - Dental | Past | Accepting new patients | |
| Az Pediatric Care | Past | Accepting new patients |
Locations
635 E Baseline Rd
Phoenix, AZ 85042
3003 N Central Ave
Ste 1600
Phoenix, AZ 85012
Phone (602) 323-3492
6601 W Thomas Rd
Phoenix, AZ 85033
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1558308825
-
- Primary Care Clinic/Center
- Phoenix, AZ
- NPI 1083783724
-
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1710146188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555632000000",
"number": "1093811952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3003 N CENTRAL AVE STE 1600",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850122908",
"telephone_number": "602-323-3344",
"fax_number": "602-323-3496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6601 W THOMAS RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850335700",
"telephone_number": "602-243-7277",
"fax_number": "623-247-9742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENTHAL",
"first_name": "DINNA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-16",
"last_updated": "2019-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "208000000X",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AZ",
"license": "54388",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "820483",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "272334",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000882868A",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DINNA",
"last_name": "DE CASTRO",
"code": "1",
"type": "Former Name"
}
]
}
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 Apr 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.