Individual provider Active NPI

Ryan Howard Engelberg, D.D.S.

  • Endodontics
  • Scottsdale, AZ
National Provider Identifier
1386860104
Registry record updated Sep 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
D4706 Issued in AZ
Practice address
10802 N 71St PL
Scottsdale, AZ 85254-5204
Phone
(480) 991-1144
Fax
(480) 998-1565
NPI assigned
Apr 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X D4706 AZ Primary

Addresses

Primary practice location

10802 N 71St PL
Scottsdale, AZ 85254-5204

Mailing address

10802 N 71St PL
Scottsdale, AZ 85254-5204
Phone (480) 991-1144

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.

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
Marquette University School of Dentistry, 1996
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10901 E McDowell Rd
Scottsdale, AZ 85256-5300

1100 E Bell Rd
Apt 2104
Phoenix, AZ 85022-3076

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D4706AZMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Michael a. Markson, D.M.D., P.C Endodontics 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": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379548800000",
    "number": "1386860104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10802 N 71ST PL",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852545204",
            "telephone_number": "480-991-1144",
            "fax_number": "480-998-1565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10802 N 71ST PL",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852545204",
            "telephone_number": "480-991-1144",
            "fax_number": "480-998-1565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGELBERG",
        "first_name": "RYAN",
        "middle_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2013-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "AZ",
            "license": "D4706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.