Active NPI
Dallin Richard Birch, D.M.D.
- General Practice Dentistry
- Phoenix, AZ
National Provider Identifier
1366607178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D7605
- Practice address
- 15715 S 46TH St
Suite 104
Phoenix, AZ 85048-0438 - Phone
- (480) 598-5900
- Fax
- (480) 889-5859
- NPI assigned
- Jul 21, 2008
- Last updated
- Aug 20, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D7605 | AZ | Primary |
Addresses
Primary practice location
15715 S 46TH St
Suite 104
Phoenix, AZ 85048-0438
Mailing address
1812 E Erie St
Chandler, AZ 85225-5249
Phone (520) 285-7110
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D7605 | AZ | MD | General Practice Dentistry |
Organizations & group practices 1
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": "1216598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282262400000",
"number": "1366607178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1812 E ERIE ST",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852255249",
"telephone_number": "520-285-7110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15715 S 46TH ST",
"address_2": "SUITE 104",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850480438",
"telephone_number": "480-598-5900",
"fax_number": "480-889-5859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIRCH",
"first_name": "DALLIN",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-21",
"last_updated": "2010-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "D7605",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.