Active NPI
Robert Saul Infeld, DMD
- Dentist
- Surprise, AZ
National Provider Identifier
1811153455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2607
- Practice address
- 13375 W. Grand Ave..
109
Surprise, AZ 85374-7707 - Phone
- (623) 544-2300
- Fax
- (623) 544-2704
- NPI assigned
- Aug 4, 2008
- 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 | 2607 | AZ | Primary |
Addresses
Primary practice location
13375 W. Grand Ave..
109
Surprise, AZ 85374-7707
Mailing address
22612 N 55TH St
Phoenix, AZ 85054-7166
Phone (602) 469-2818
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: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151209002857 | AZ | Order and Referring Only - Dentist | 2062713340 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377648000000",
"number": "1811153455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22612 N 55TH ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850547166",
"telephone_number": "602-469-2818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13375 W. GRAND AVE..",
"address_2": "109",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853747707",
"telephone_number": "623-544-2300",
"fax_number": "623-544-2704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INFELD",
"first_name": "ROBERT",
"middle_name": "SAUL",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-04",
"last_updated": "2013-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "2607",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Surprise, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.