Individual provider Active NPI

Robert Saul Infeld, DMD

  • Dentist
  • Surprise, AZ
National Provider Identifier
1811153455
Registry record updated Aug 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2607 Issued in AZ
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

Updated by the provider on Aug 28, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151209002857 AZ Order and Referring Only - DentistPractitioner - General PracticePractitioner - 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

Verify at the official NPI Registry.