Active NPI
Michael J. Radcliffe, DMD,PC
- General Practice Dentistry
- Phoenix, AZ
National Provider Identifier
1114145455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael J. Radcliffe, DMD,PC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Phoenix, AZ
- NPI 1255418216
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.