Alex S Barkdull

Primary specialty

DentistTaxonomy code 122300000X

License

D012581 Issued in AZ

Practice address

946 S Watson Rd Ste 101
Buckeye, AZ 85326-3430

Phone

(623) 267-4676

NPI assigned

Oct 6, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Buckeye Modern Dentistry, LLP

  • Dentist
  • Buckeye, AZ
  • NPI 1790443455
  NPD

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

{
    "created_epoch": "1759708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1467327072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19310 N 54TH LN",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853084948",
            "telephone_number": "360-333-5924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "946 S WATSON RD STE 101",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853263430",
            "telephone_number": "623-267-4676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARKDULL",
        "first_name": "ALEX",
        "middle_name": "S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-10-06",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D012581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiarence Banda
• Neha Bandi
• Banner Estrella Medical Center
• Banner Primary Care Physicians Arizona LLC
• Banner Primary Care Physicians Arizona LLC
• Andrew Ashby Barrett, M.D.
• Heather Barron-Galvan, EDS
• Dane Barthule, PHARMD
• Kimberly Dawn Bates, M.A., LPC
• Jennifer Lynn Ruth Beaupre, NURSE PRACTITIONER

• Dentist in Buckeye, AZ
• Providers in Buckeye, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; 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.