Organization Active NPI

Biltmore Cosmetic Dentistry LLC

  • General Practice Dentistry
  • Phoenix, AZ
National Provider Identifier
1023680980
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BILTMORE COSMETIC DENTISTRY LLC
Practice address
5155 N 16TH St Ste a
Phoenix, AZ 85016-3917
Phone
(602) 265-5155
NPI assigned
Jul 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2021

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

Authorized official

Name
Faith Gaskins
Title
Director of Credentialing
Phone
(972) 869-3789

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

5155 N 16TH St Ste a
Phoenix, AZ 85016-3917

Mailing address

5155 N 16TH St Ste a
Phoenix, AZ 85016-3917
Phone (602) 265-5155

National Provider Directory

National Provider Directory

Locations

5155 N 16th St
Ste A
Phoenix, AZ 85016
Phone (602) 265-5155

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626048000000",
    "number": "1023680980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5155 N 16TH ST STE A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850163917",
            "telephone_number": "602-265-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5155 N 16TH ST STE A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850163917",
            "telephone_number": "602-265-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BILTMORE COSMETIC DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-12",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A",
        "authorized_official_last_name": "GASKINS",
        "authorized_official_first_name": "FAITH",
        "authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; 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.