Active NPI
Maria Picariello Bopp, DDS
- General Practice Dentistry
- Phoenix, AZ
National Provider Identifier
1609493378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 11683
- Practice address
- 4550 E Bell Rd Ste 178
Phoenix, AZ 85032-9383 - Phone
- (602) 494-3000
- NPI assigned
- Jun 29, 2020
- Last updated
- Feb 21, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 102748 | CA | |
| General Practice Dentistry | 1223G0001X | 11683 | AZ | Primary |
Addresses
Primary practice location
4550 E Bell Rd Ste 178
Phoenix, AZ 85032-9383
Mailing address
4550 E Bell Rd Ste 175
Phoenix, AZ 85032-9306
Phone (408) 439-0321
Other practice location 1
1429 Grant Rd Ste A
Mountain View, CA 94040-3250
Phone (650) 969-2866
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102748 | CA | MD | General Practice Dentistry |
| 11683 | AZ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Highbury Dental Management, LLC | Past | Accepting new patients | |
| DC Dental, LLC | General Practice | Past | 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.
-
dba Tiny Teeth Dental Care - Goodyear
- General Practice Dentistry
- Goodyear, AZ
- NPI 1447487632
-
- Pediatric Dentistry
- Goodyear, AZ
- NPI 1174061790
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708473600000",
"number": "1609493378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4550 E BELL RD STE 175",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850329306",
"telephone_number": "408-439-0321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4550 E BELL RD STE 178",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850329383",
"telephone_number": "602-494-3000"
}
],
"practiceLocations": [
{
"address_1": "1429 Grant Rd Ste A",
"address_purpose": "LOCATION",
"city": "Mountain View",
"state": "CA",
"postal_code": "940403250",
"country_code": "US",
"telephone_number": "650-969-2866",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOPP",
"first_name": "MARIA",
"middle_name": "PICARIELLO",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-29",
"last_updated": "2024-02-21",
"certification_date": "2024-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "102748",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "11683",
"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 Feb 21, 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.