Organization Active NPI

Birk Dental PLLC

  • Dental Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1386499945
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
BIRK DENTAL PLLC
Doing business as
Birk Family Dentistry
Practice address
4550 E Bell Rd Ste 190
Phoenix, AZ 85032-9383
Phone
(602) 730-4282
NPI assigned
Apr 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Authorized official

Name
Breanna Rose Birk, DMDNPI 1750949582
Title
Owner/Provider
Phone
(605) 480-2985

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

4550 E Bell Rd Ste 190
Phoenix, AZ 85032-9383

Mailing address

4550 E. Bell Road
Suite 190
Phoenix, AZ 85032
Phone (650) 480-2985

Other names 1

  • Birk Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

4550 E Bell Rd
Ste 190
Phoenix, AZ 85032
Phone (480) 565-7473

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1713398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713398400000",
    "number": "1386499945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 E. BELL ROAD",
            "address_2": "SUITE 190",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85032",
            "telephone_number": "650-480-2985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 E BELL RD STE 190",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850329383",
            "telephone_number": "602-730-4282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRK DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-18",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A",
        "authorized_official_last_name": "BIRK",
        "authorized_official_first_name": "BREANNA",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "605-480-2985",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Birk Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 18, 2024; 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.