Rebecca Susan Schaffer, D.D.S.

Primary specialty

Orofacial Pain DentistryTaxonomy code 1223X2210X

License

D07361 Issued in AZ

Practice address

2620 S 83Rd Ave
#104
Phoenix, AZ 85043-7203

Phone

(623) 936-6665

NPI assigned

Dec 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other names 1

• Ms. Rebecca Susan Dorf Former name

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Oral Surgery

Education

Columbia University College of Dental Medicine, 1984

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ids Dental Services PLLC

  • General Practice Dentistry
  • Phoenix, AZ
  • NPI 1790063295
  Medicare reassignment NPD Authorized official
• Double JD,LLC

  dba Sundance Dental Care

  • General Practice Dentistry
  • Phoenix, AZ
  • NPI 1982821617
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1912067596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8046 N 2ND DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850215607",
            "telephone_number": "732-740-7465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 S 83RD AVE",
            "address_2": "#104",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850437203",
            "telephone_number": "623-936-6665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAFFER",
        "first_name": "REBECCA",
        "middle_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "039523-1",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "14922",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D7361",
            "primary": false
        },
        {
            "code": "1223X2210X",
            "taxonomy_group": "",
            "desc": "Dentist, Orofacial Pain",
            "state": "AZ",
            "license": "D07361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "DORF",
            "middle_name": "SUSAN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Grant Schafer, D.O.
• Jack L Schafer, M.D.
• Rebecca A Schafer, LCSW
• Kristian T Schafernak, M.D.
• Jordan Schaffer, P.T., D.P.T., CSCS
• Steven Jeffrey Schaffner, MD
• Dawn G Schaffrick, NNP-BC
• Jessica Schafman, NP
• Lara Schaheen, MD
• John Schaible, M.D.

• Orofacial Pain Dentistry in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Orofacial Pain Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.