NPIMap

Southwest Orofacial Group Inc

A Medicare group practice based in Phoenix, AZ: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 4981786308), with 4 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4981786308The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Oral Surgery - Dentist, Part B Supplier - Clinic/Group Practice
Enrolled in
AZ
Enrollments
5
Group size
4 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
9In 4 places

Enrollment records 5

Enrollment IDStateProvider typeNPI
O20080124000255 AZ Part B Supplier - Clinic/Group Practice 1487733572
O20100930060661 AZ DME Supplier - Oral Surgery - Dentist 1487733572
O20250616001020 AZ DME Supplier - Oral Surgery - Dentist 1619707049
O20150731016573 AZ DME Supplier - Oral Surgery - Dentist 1245620459
O20150904000923 AZ DME Supplier - Oral Surgery - Dentist 1891184297

NPIs in this group 4

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 4

Clinicians who reassign their Medicare benefits to this group (4) or whom Care Compare lists as members (4).

Sources for this page