Active NPI
Matthew Christopher Orzabal, D.M.D.
- General Practice Dentistry
- Laveen, AZ
National Provider Identifier
1487003125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 9450
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170113001729 | AZ | Order and Referring Only - Dentist | 5193007771 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Matthew Orzabal DMD PLLC | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.