Individual provider Active NPI

Greig Monakil Florento, DDS

  • General Practice Dentistry
  • Litchfield Park, AZ
National Provider Identifier
1356547152
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D6994 Issued in AZ
Practice address
13575 W Indian School Rd
Suite 600
Litchfield Park, AZ 85340-4901
Phone
(623) 932-1300
NPI assigned
Jun 27, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D6994 AZ Primary

Addresses

Primary practice location

13575 W Indian School Rd
Suite 600
Litchfield Park, AZ 85340-4901

Mailing address

10809 W Jefferson St
Avondale, AZ 85323-3344
Phone (623) 536-0572

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Sep 22, 2015 through Sep 22, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D6994AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Midwestern University PastSince Sep 29, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: gflorento18579@direct.midwestern.edu

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": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356547152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10809 W JEFFERSON ST",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853233344",
            "telephone_number": "623-536-0572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13575 W INDIAN SCHOOL RD",
            "address_2": "SUITE 600",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853404901",
            "telephone_number": "623-932-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORENTO",
        "first_name": "GREIG",
        "middle_name": "MONAKIL",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D6994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Litchfield Park, AZ

Sources for this page

Verify at the official NPI Registry.