Individual provider Active NPI

Forrest James Noelck, DDS

  • General Practice Dentistry
  • Litchfield Park, AZ
National Provider Identifier
1801310420
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9812 Issued in AZ
Practice address
551 E Plaza Cir Ste C
Litchfield Park, AZ 85340-4923
Phone
(623) 935-1158
NPI assigned
Jul 26, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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 9812 AZ Primary

Addresses

Primary practice location

551 E Plaza Cir Ste C
Litchfield Park, AZ 85340-4923

Mailing address

3511 E Claremont Ave
Paradise Valley, AZ 85253-3750
Phone (623) 451-1084

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

State licenses

LicenseStateTypeSpecialty
9812AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Noelck & Ma Family Dentistry General Practice Current Accepting new patients

Locations

551 E Plaza Cir
Ste C
Litchfield Park, AZ 85340
Phone (623) 935-1158

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": "1501027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1801310420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3511 E CLAREMONT AVE",
            "city": "PARADISE VALLEY",
            "state": "AZ",
            "postal_code": "852533750",
            "telephone_number": "623-451-1084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 E PLAZA CIR STE C",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853404923",
            "telephone_number": "623-935-1158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOELCK",
        "first_name": "FORREST",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-26",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "9812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Litchfield Park, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; 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.