Active NPI
Clarence J. Plisky D.D.S., L.L.C
- General Practice Dentistry
- Phoenix, AZ
National Provider Identifier
1164591624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D5214
- Legal business name
- CLARENCE J. PLISKY D.D.S., L.L.C
- Practice address
- 4910 N 44TH St Ste a-4
Phoenix, AZ 85018-2730 - Phone
- (602) 952-9521
- Fax
- (602) 952-0073
- NPI assigned
- Nov 7, 2006
- 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. Clarence J. Plisky III, D.D.S.
- Title
- Owner
- Phone
- (602) 952-9521
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D5214 | AZ | Primary |
Addresses
Primary practice location
4910 N 44TH St Ste a-4
Phoenix, AZ 85018-2730
Mailing address
4910 N 44TH St Ste a-4
Phoenix, AZ 85018-2730
Phone (602) 952-9521
Other names 1
- Biltmore Dental Group
National Provider Directory
National Provider DirectoryLocations
4910 N 44th St
Ste A4
Phoenix, AZ 85018
Phone (602) 952-9521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1164591624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4910 N 44TH ST STE A-4",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850182730",
"telephone_number": "602-952-9521",
"fax_number": "602-952-0073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4910 N 44TH ST STE A-4",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850182730",
"telephone_number": "602-952-9521",
"fax_number": "602-952-0073"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLARENCE J. PLISKY D.D.S., L.L.C",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-07",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PLISKY",
"authorized_official_first_name": "CLARENCE",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "602-952-9521",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "D5214",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Biltmore Dental Group",
"code": "3",
"type": "Doing Business As"
}
]
}
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.