Individual provider Active NPI

Jennifer J. Myers-Fineberg, D.D.S.

  • General Practice Dentistry
  • Glendale, AZ
National Provider Identifier
1760597835
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4492 Issued in AZ
Practice address
6750 W Deer Valley Rd
Suite C103
Glendale, AZ 85310-5954
Phone
(623) 362-2550
Fax
(623) 362-2552
NPI assigned
Aug 20, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 4492 AZ Primary

Addresses

Primary practice location

6750 W Deer Valley Rd
Suite C103
Glendale, AZ 85310-5954

Mailing address

6750 W Deer Valley Rd
Suite C103
Glendale, AZ 85310-5954
Phone (623) 362-2550

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151223001384 AZ Order and Referring Only - Other (Non-Physician) 7214238849

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer Fineberg DDS PC Past Accepting new patients

Organizations & group practices 1

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": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760597835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6750 W DEER VALLEY RD",
            "address_2": "SUITE C103",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853105954",
            "telephone_number": "623-362-2550",
            "fax_number": "623-362-2552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6750 W DEER VALLEY RD",
            "address_2": "SUITE C103",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853105954",
            "telephone_number": "623-362-2550",
            "fax_number": "623-362-2552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS-FINEBERG",
        "first_name": "JENNIFER",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "4492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.