MDBB Management LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

MDBB MANAGEMENT LLC

Practice address

2680 S Val Vista Dr Ste 101
Gilbert, AZ 85295-1606

Phone

(727) 522-5599

NPI assigned

Apr 3, 2019

Organization subpart

No

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

Authorized official

Name

Bart Palmisano

Title

Secretary

Phone

(723) 752-2559

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675296000000",
    "number": "1437611803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2680 S VAL VISTA DR STE 101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852951606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2680 S VAL VISTA DR STE 101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852951606",
            "telephone_number": "727-522-5599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDBB MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-03",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A",
        "authorized_official_last_name": "PALMISANO",
        "authorized_official_first_name": "BART",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "723-752-2559"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McQueen Professional Group, LLC
• Brenden McRae, MD
• Laurie-Anna Doty McRae, L.C.S.W.
• Michelle McWilliams, FNP-C
• Nevaeh Elyse McWilliams
• Aurora Meader
• Meadowbrook Counseling of Arizona, LLC
• Merideth Mecham, M.S., CF-SLP
• Rebekah Mecham
• Craig Loren Mechelke, D.O.

• Orthodontics and Dentofacial Orthopedics Dentistry in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; 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.