NPIMap

Organization Active NPI

Edward M. Reifman, DDS Inc

  • Dentist
  • Prescott Valley, AZ
National Provider Identifier
1750623559
Registry record updated Jan 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
27475 Issued in CA
Legal business name
EDWARD M. REIFMAN, DDS INC
Practice address
3264 N Glassford Hill Rd Ste a
Prescott Valley, AZ 86314-1353
Phone
(928) 759-8000
NPI assigned
Mar 20, 2013
Last updated
Jan 5, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2015

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

Authorized official

Name
Dr. Edward Martin Reifman, DDS
Title
Associate Dentist
Phone
(928) 759-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 27475 CA Primary

Addresses

Primary practice location

3264 N Glassford Hill Rd Ste a
Prescott Valley, AZ 86314-1353

Mailing address

3264 N Glassford Hill Rd Ste a
Prescott Valley, AZ 86314-1353
Phone (928) 759-8000

National Provider Directory

National Provider Directory

Locations

8330 E Hartford Dr
Ste 100A
Scottsdale, AZ 85255
Phone (480) 745-3547

Practitioners & affiliated clinicians

Practitioners 4

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": "1363737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420416000000",
    "number": "1750623559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3264 N GLASSFORD HILL RD STE A",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863141353",
            "telephone_number": "928-759-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3264 N GLASSFORD HILL RD STE A",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863141353",
            "telephone_number": "928-759-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD M. REIFMAN, DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-20",
        "last_updated": "2015-01-05",
        "status": "A",
        "authorized_official_last_name": "REIFMAN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "ASSOCIATE DENTIST",
        "authorized_official_telephone_number": "928-759-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "27475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2015; 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.