Individual provider Active NPI

Fleur Arden Berbos, D.D.S.

  • Endodontics
  • Scottsdale, AZ
National Provider Identifier
1306032115
Registry record updated Jan 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
7731 Issued in AZ
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

Updated by the provider on Jan 29, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
DE00010706WAMDEndodontist
61026CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.