Active NPI
Robert Doyle Sundberg, DDS
- Dentist
- Scottsdale, AZ
National Provider Identifier
1760684260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2575
- Practice address
- 7600 E Camelback Road
Ste 1
Scottsdale, AZ 85251 - Phone
- (480) 947-7300
- Fax
- (480) 421-0971
- NPI assigned
- Jun 5, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 2575 | AZ | Primary |
Addresses
Primary practice location
7600 E Camelback Road
Ste 1
Scottsdale, AZ 85251
Mailing address
7600 East Camelback Road
Suite One
Scottsdale, AZ 85251
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
Care Compare profile
Medicare Care Compare- Specialty
- Dentist
- Education
- Other, 1980
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
8500 W 110TH St
Suite 260
Overland Park, KS 66210-1892
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2575 | AZ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aria Dental Care PC | Dentist | Current | Accepting new patients |
Locations
2410 W Ray Rd
Ste 3
Chandler, AZ 85224
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1760684260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7600 EAST CAMELBACK ROAD",
"address_2": "SUITE ONE",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "85251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7600 E CAMELBACK ROAD",
"address_2": "STE 1",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "85251",
"telephone_number": "480-947-7300",
"fax_number": "480-421-0971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUNDBERG",
"first_name": "ROBERT",
"middle_name": "DOYLE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "2575",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.