Biltmore Pediatric Dental Group

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

8935 Issued in AZ

Legal business name

BILTMORE PEDIATRIC DENTAL GROUP

Doing business as

MyKidzDentist Central Phoenix

Practice address

1728 W Glendale Ave
#305
Phoenix, AZ 85021-8860

Phone

(602) 995-7336

Fax

(602) 995-2665

NPI assigned

Dec 15, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Ernest Nehrer, DDS

Title

President

Phone

(831) 234-5526

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MyKidzDentist Central Phoenix Doing business as

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

{
    "created_epoch": "1450137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450137600000",
    "number": "1316302599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1728 W GLENDALE AVE",
            "address_2": "#305",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850218860",
            "telephone_number": "602-995-7336",
            "fax_number": "602-995-2665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1728 W GLENDALE AVE",
            "address_2": "#305",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850218860",
            "telephone_number": "602-995-7336",
            "fax_number": "602-995-2665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BILTMORE PEDIATRIC DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-15",
        "last_updated": "2015-12-15",
        "status": "A",
        "authorized_official_last_name": "NEHRER",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "831-234-5526",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AZ",
            "license": "8935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "955781",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MyKidzDentist Central Phoenix",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Biltmore Health Care, P.C.
• Biltmore Med Group LLC
• Biltmore Medical Center PC
• Biltmore Medical Supplies Inc
• Biltmore Orthopedic Associates, PLLC
• Biltmore Periodontics, PLLC
• Biltmore Periodontics, PLLC
• Biltmore Physical Medicine LLC
• Biltmore Psychiatric Group
• Biltmore Psychology Services

• Pediatric Dentistry in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Pediatric Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2015; 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.