Organization Active NPI

Brilliant Smiles Dentistry, PLLC

  • Multi-Specialty Clinic/Center
  • Scottsdale, AZ
National Provider Identifier
1215636501
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
BRILLIANT SMILES DENTISTRY, PLLC
Practice address
5425 E Bell Rd Ste 143
Scottsdale, AZ 85254-6010
Phone
(480) 613-3476
NPI assigned
Feb 27, 2023
Last updated
Aug 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Authorized official

Name
Dr. Terry Peterson, DDSNPI 1164718201
Title
Owner
Phone
(801) 471-8141

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU
Multi-Specialty Clinic/Center 261QM1300X NU Primary

Addresses

Primary practice location

5425 E Bell Rd Ste 143
Scottsdale, AZ 85254-6010

Mailing address

5425 E Bell Rd Ste 143
Scottsdale, AZ 85254-6010
Phone (602) 953-1850

National Provider Directory

National Provider Directory

Locations

5425 E Bell Rd
Ste 143
Scottsdale, AZ 85254
Phone (480) 613-3476

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785888000000",
    "number": "1215636501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5425 E BELL RD STE 143",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852546010",
            "telephone_number": "602-953-1850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 E BELL RD STE 143",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852546010",
            "telephone_number": "480-613-3476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRILLIANT SMILES DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-27",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-471-8141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; 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.