Active NPI
Fleur Arden Berbos, D.D.S.
- Endodontics
- Scottsdale, AZ
National Provider Identifier
1306032115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 7731
- Practice address
- 14858 N Frank Lloyd Wright Blvd
Suite 165a
Scottsdale, AZ 85260-2216 - Phone
- (480) 860-4455
- NPI assigned
- Sep 15, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | DE00010706 | WA | |
| Endodontics | 1223E0200X | 61026 | CA | |
| Endodontics | 1223E0200X | 7731 | AZ | Primary |
Addresses
Primary practice location
14858 N Frank Lloyd Wright Blvd
Suite 165a
Scottsdale, AZ 85260-2216
Mailing address
11736 E del Timbre Dr
Scottsdale, AZ 85259-5910
Phone (206) 769-8405
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE00010706 | WA | MD | Endodontist |
| 61026 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Horizon Modern Dentistry and Orthodontics, LLP | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Scottsdale, AZ
- NPI 1922314202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611878400000",
"number": "1306032115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11736 E DEL TIMBRE DR",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852595910",
"telephone_number": "206-769-8405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14858 N FRANK LLOYD WRIGHT BLVD",
"address_2": "SUITE 165A",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852602216",
"telephone_number": "480-860-4455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERBOS",
"first_name": "FLEUR",
"middle_name": "ARDEN",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-15",
"last_updated": "2021-01-29",
"certification_date": "2021-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "WA",
"license": "DE00010706",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "CA",
"license": "61026",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "AZ",
"license": "7731",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.