Active NPI
Neal W. Karlin, DDS
- General Practice Dentistry
- Phoenix, AZ
National Provider Identifier
1821416835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D009406
- Practice address
- 45 W Jefferson St # L
Phoenix, AZ 85003-2307 - Phone
- (602) 566-9005
- NPI assigned
- Apr 7, 2014
- Last updated
- Jan 27, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 15649 | MD | |
| General Practice Dentistry | 1223G0001X | D009406 | AZ | Primary |
Addresses
Primary practice location
45 W Jefferson St # L
Phoenix, AZ 85003-2307
Mailing address
45 W Jefferson St Ste L
Phoenix, AZ 85003-2307
Phone (602) 566-9005
Other practice location 1
105 N Litchfield Rd
Goodyear, AZ 85338-1617
Phone (623) 932-3200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150513001837 | MD | Order and Referring Only - Dentist | 3870813918 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D009406 | AZ | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Downtown Smiles LLC | Current | Accepting new patients | |
| Katsur Dental of Arizona, Inc. | General Practice | Past | Accepting new patients |
| Southwest Dental Center, Inc | Dentist | Past | Accepting new patients |
Locations
45 W Jefferson St
Ste L
Phoenix, AZ 85003
Phone (602) 566-9005
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dental Clinic/Center
- Phoenix, AZ
- NPI 1750097218
-
dba Katsur Dental of Arizona
- General Practice Dentistry
- Goodyear, AZ
- NPI 1174771612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674777600000",
"number": "1821416835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 W JEFFERSON ST STE L",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850032307",
"telephone_number": "602-566-9005",
"fax_number": "602-894-0251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 W JEFFERSON ST # L",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850032307",
"telephone_number": "602-566-9005"
}
],
"practiceLocations": [
{
"address_1": "105 N Litchfield Rd",
"address_purpose": "LOCATION",
"city": "Goodyear",
"state": "AZ",
"postal_code": "853381617",
"country_code": "US",
"telephone_number": "623-932-3200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KARLIN",
"first_name": "NEAL",
"middle_name": "W.",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-07",
"last_updated": "2023-01-27",
"certification_date": "2021-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "15649",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "D009406",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; 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.