Clarence J. Plisky III, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D5214 Issued in AZ

Practice address

3200 E Camelback Rd Ste 182
Phoenix, AZ 85018-2326

Phone

(602) 952-9521

Fax

(602) 952-0073

NPI assigned

Mar 28, 2006

Last updated

Jun 11, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clarence J. Plisky D.D.S., L.L.C

  dba Biltmore Dental Group

  • General Practice Dentistry
  • Phoenix, AZ
  • NPI 1164591624
  Authorized official Same address or phone

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339372800000",
    "number": "1245291533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 E CAMELBACK RD STE 182",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850182326",
            "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": "3200 E CAMELBACK RD STE 182",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850182326",
            "telephone_number": "602-952-9521",
            "fax_number": "602-952-0073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLISKY",
        "first_name": "CLARENCE",
        "middle_name": "J.",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2012-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D5214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Jo Plencner-Vega, MSN,CNM
• Jennifer Plenty, PMHNP-BC
• Erin Plieseis
• Charles Steven Plimpton, MD
• Doreen Adams Plimpton, PTA
• Joshua A Plosker, LMSW
• Larry Plosker, D.O.
• James L Plotnik, M.D.
• Maggie Lynn Fang Plouff, DPT
• Nancy Jeanetta Plouffe, LPC

• General Practice Dentistry in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.