Individual provider Active NPI

Forrest J. Filippi, DMD

  • General Practice Dentistry
  • Phoenix, AZ
National Provider Identifier
1467587733
Registry record updated Aug 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D3766 Issued in AZ
Practice address
10320 W Indian School Rd Ste C
Phoenix, AZ 85037-5822
Phone
(623) 877-9501
Fax
(623) 877-8704
NPI assigned
Feb 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2012

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 D3766 AZ Primary

Addresses

Primary practice location

10320 W Indian School Rd Ste C
Phoenix, AZ 85037-5822

Mailing address

10320 W. Indian School Road Suite #C
Phoenix, AZ 86037
Phone (623) 877-9501

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 11, 2016 through Apr 11, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D3766AZMDGeneral Practice Dentistry

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344297600000",
    "number": "1467587733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10320 W. INDIAN SCHOOL ROAD SUITE #C",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "86037",
            "telephone_number": "623-877-9501",
            "fax_number": "623-877-8704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10320 W INDIAN SCHOOL RD STE C",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850375822",
            "telephone_number": "623-877-9501",
            "fax_number": "623-877-8704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FILIPPI",
        "first_name": "FORREST",
        "middle_name": "J.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2012-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D3766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.