Individual provider Active NPI

Neal W. Karlin, DDS

  • General Practice Dentistry
  • Phoenix, AZ
National Provider Identifier
1821416835
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D009406 Issued in AZ
Practice address
45 W Jefferson St # L
Phoenix, AZ 85003-2307
Phone
(602) 566-9005
NPI assigned
Apr 7, 2014
Last updated
Jan 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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

Specialties & licenses 2

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150513001837 MD Order and Referring Only - DentistPractitioner - Dentist 3870813918

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D009406AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Downtown Smiles LLC CurrentSince Jan 29, 2023 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.

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

Verify at the official NPI Registry.