Individual provider Active NPI

Matthew Christopher Orzabal, D.M.D.

  • General Practice Dentistry
  • Laveen, AZ
National Provider Identifier
1487003125
Registry record updated Sep 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9450 Issued in AZ
Practice address
5270 W Baseline Rd
Suite 130
Laveen, AZ 85339-6959
Phone
(602) 237-8182
NPI assigned
Jun 3, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2016

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 9450 AZ Primary

Addresses

Primary practice location

5270 W Baseline Rd
Suite 130
Laveen, AZ 85339-6959

Mailing address

5946 W Sack Dr
Glendale, AZ 85308-7611
Phone (623) 512-2005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170113001729 AZ Order and Referring Only - DentistPractitioner - Dentist 5193007771

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Matthew Orzabal DMD PLLC CurrentSince Sep 23, 2021 Accepting new patients
Desert Dentistry, PLLC General Practice Past Accepting new patients

Locations

15033 W Bell Rd
Ste 100
Surprise, AZ 85374
Phone (623) 537-9100

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1464912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475107200000",
    "number": "1487003125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5946 W SACK DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853087611",
            "telephone_number": "623-512-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5270 W BASELINE RD",
            "address_2": "SUITE 130",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853396959",
            "telephone_number": "602-237-8182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORZABAL",
        "first_name": "MATTHEW",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-03",
        "last_updated": "2016-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "9450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laveen, AZ

Sources for this page

Verify at the official NPI Registry.