Individual provider Active NPI

Phillip Garrett Jr., D.D.S.

  • Periodontics
  • Peoria, AZ
National Provider Identifier
1356712087
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
D009953 Issued in AZ
Practice address
7505 W Deer Valley Rd Ste 130
Peoria, AZ 85382-2107
Phone
(623) 572-7505
NPI assigned
Oct 7, 2015
Last updated
May 19, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X D009953 AZ Primary

Addresses

Primary practice location

7505 W Deer Valley Rd Ste 130
Peoria, AZ 85382-2107

Mailing address

7505 W Deer Valley Rd Ste 130
Peoria, AZ 85382-2107
Phone (623) 572-7505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20190809000830 CA Order and Referring Only - DentistPractitioner - Dentist 6406155266

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D009953AZMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Garrett Periodontics Past Accepting new patients
J Brent Sanders DDS PC Periodontics PastSince May 24, 2015 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1356712087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7505 W DEER VALLEY RD STE 130",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853822107",
            "telephone_number": "623-572-7505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7505 W DEER VALLEY RD STE 130",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853822107",
            "telephone_number": "623-572-7505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRETT",
        "first_name": "PHILLIP",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-07",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "AZ",
            "license": "D009953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.