Andrew Biondi, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D012271 Issued in AZ

Practice address

1231 Willow Creek Rd Ste a
Prescott, AZ 86301-1405

Phone

(630) 975-0445

NPI assigned

Jul 17, 2024

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1721174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1669210308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 WILLOW LAKE RD UNIT 201",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863016048",
            "telephone_number": "630-975-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 WILLOW CREEK RD STE A",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011405",
            "telephone_number": "630-975-0445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIONDI",
        "first_name": "ANDREW",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-17",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D012271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William James Bilbray, MS, LISAC
• Lindsay Ann Binder, M.S., CCC-SLP
• Bio Mechanics LLC
• Bio-Medical Applications of Arizona, LLC
• Biomedical Group, LLC
• Katlyn Biondo, PA-C
• Alyssa Lyn Birmingham, FNP- C
• Debora L. Black, LAC
• Karen Black, RN
• Sheila Black, FNP-C

• General Practice Dentistry in Prescott, AZ
• Providers in Prescott, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.