Healthcare Provider Details

I. General information

NPI: 1033734694
Provider Name (Legal Business Name): NEAL R KRENTZ DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2020
Last Update Date: 06/28/2025
Certification Date: 06/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3126 N CIVIC CENTER PLZ
SCOTTSDALE AZ
85251-6912
US

IV. Provider business mailing address

4900 N 44TH ST APT 4055
PHOENIX AZ
85018-2882
US

V. Phone/Fax

Practice location:
  • Phone: 480-874-2040
  • Fax: 480-874-2041
Mailing address:
  • Phone: 248-410-4889
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number011660
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: