Organization Active NPI

Michael J. Radcliffe, DMD,PC

  • General Practice Dentistry
  • Phoenix, AZ
National Provider Identifier
1114145455
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MICHAEL J. RADCLIFFE, DMD,PC
Practice address
5155 N 16TH St
Phoenix, AZ 85016-3917
Phone
(602) 265-5155
Fax
(602) 212-0958
NPI assigned
Apr 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Michael J. Radcliffe, DMD,PCNPI 1255418216
Title
Owner
Phone
(602) 265-5155

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

5155 N 16TH St
Phoenix, AZ 85016-3917

Mailing address

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

National Provider Directory

National Provider Directory

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": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114145455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5155 N 16TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850163917",
            "telephone_number": "602-265-5155",
            "fax_number": "602-212-0958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5155 N 16TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850163917",
            "telephone_number": "602-265-5155",
            "fax_number": "602-212-0958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J. RADCLIFFE, DMD,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RADCLIFFE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-265-5155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD,PC"
    },
    "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 Aug 22, 2020; 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.