Ethan Greenfeld

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

10245 E Via Linda Ste 104
Scottsdale, AZ 85258-5316

Phone

(480) 270-4516

NPI assigned

Aug 13, 2019

Last updated

Aug 13, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Social Work Associates LLC

  • Family Medicine Physician
  • Scottsdale, AZ
  • NPI 1538573282
  NPD Authorized official

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

{
    "created_epoch": "1565654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1932755212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10245 E VIA LINDA STE 104",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585316",
            "telephone_number": "480-270-4516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10245 E VIA LINDA STE 104",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585316",
            "telephone_number": "480-270-4516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENFELD",
        "first_name": "ETHAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-13",
        "last_updated": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan Leblang Greenbaum, PH.D.
• Stuart L Greenberg, O.D.
• Victoria Lynn Greenberg, RPH
• Jeffrey Bryan Greene, D.D.S.
• Lindsey Greene, PA-C
• Tina Rachel Greenfeld, MSW
• Greenfield Lakes Family Dentistry (Pinnacle Peak Family and Cosmetic Dentist)
• Greenfiled Lake Family Dentistry (Pinnacle Peak Family and Cosmetic Dentistry)
• Kathryn Greenslade, CFY-SLP
• Avram C Greenspan, MD

• Student in an Organized Health Care Education/Training Program in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Student in an Organized Health Care Education/Training Program in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.