NPIMap

Organization Active NPI

Ronald a. Foeldi, DDS PC

Doing business as Absolute Aesthetic & Restorative

  • General Practice Dentistry
  • Phoenix, AZ
National Provider Identifier
1518041995
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2538 Issued in AZ
Legal business name
RONALD A. FOELDI, DDS PC
Doing business as
Absolute Aesthetic & Restorative
Practice address
4530 E Shea Blvd
Suite 125
Phoenix, AZ 85028-6065
Phone
(480) 949-4568
Fax
(602) 923-4540
NPI assigned
Oct 24, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ronald A. Foeldi, D.D.S.NPI 1558445916
Title
Owner
Phone
(480) 949-4568

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 2538 AZ Primary

Addresses

Primary practice location

4530 E Shea Blvd
Suite 125
Phoenix, AZ 85028-6065

Mailing address

4530 E Shea Blvd
Suite 125
Phoenix, AZ 85028-6065
Phone (480) 949-4568

Other names 1

  • Absolute Aesthetic & Restorative Doing business as

National Provider Directory

National Provider Directory

Locations

4530 E Shea Blvd
Ste 125
Phoenix, AZ 85028
Phone (480) 573-0470

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1518041995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4530 E SHEA BLVD",
            "address_2": "SUITE 125",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850286065",
            "telephone_number": "480-949-4568",
            "fax_number": "602-923-4540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4530 E SHEA BLVD",
            "address_2": "SUITE 125",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850286065",
            "telephone_number": "480-949-4568",
            "fax_number": "602-923-4540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD A. FOELDI, DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FOELDI",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-949-4568",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "2538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Absolute Aesthetic & Restorative",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.