Active NPI
Elliot Saperstein, D.M.D., M.S.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Glendale, AZ
National Provider Identifier
1780002964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- D009844
- Practice address
- 5750 W Thunderbird Rd Ste H800
Glendale, AZ 85306-4675 - Phone
- (602) 978-2100
- NPI assigned
- Apr 3, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | D009844 | AZ | Primary |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DEN.00202669 | CO |
Addresses
Primary practice location
5750 W Thunderbird Rd Ste H800
Glendale, AZ 85306-4675
Mailing address
5750 W Thunderbird Rd Ste H800
Glendale, AZ 85306-4675
Other practice location 1
16611 S 40th St Ste 110
Phoenix, AZ 85048-0563
Phone (602) 978-2100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D009844 | AZ | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| DEN.00202669 | CO | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Orthodontists LTD | Orthodontics and Dentofacial Orthopedics | 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 and National Provider Directory roles.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Glendale, AZ
- NPI 1851475289
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656720000000",
"number": "1780002964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5750 W THUNDERBIRD RD STE H800",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853064675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5750 W THUNDERBIRD RD STE H800",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853064675",
"telephone_number": "602-978-2100"
}
],
"practiceLocations": [
{
"address_1": "16611 S 40th St Ste 110",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850480563",
"country_code": "US",
"telephone_number": "602-978-2100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SAPERSTEIN",
"first_name": "ELLIOT",
"name_prefix": "Dr.",
"credential": "D.M.D., M.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-04-03",
"last_updated": "2022-07-02",
"certification_date": "2022-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "AZ",
"license": "D009844",
"primary": true
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CO",
"license": "DEN.00202669",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.