Bradley J Willcox, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D3886 Issued in AZ

Practice address

6949 E Shea Blvd Ste 100
Scottsdale, AZ 85254-6146

Phone

(480) 998-8073

Fax

(480) 867-6648

NPI assigned

Nov 24, 2008

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

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Accucare Dental Centers PC

  • General Practice Dentistry
  • Scottsdale, AZ
  • NPI 1083632780
  Medicare reassignment Authorized official
• Arizona Dental Specialists

  • Periodontics
  • Phoenix, AZ
  • NPI 1548284094
  NPD

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

{
    "created_epoch": "1227484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683244800000",
    "number": "1699920215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5830 W THUNDERBIRD RD STE B8-310",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064654",
            "telephone_number": "623-521-9120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6949 E SHEA BLVD STE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852546146",
            "telephone_number": "480-998-8073",
            "fax_number": "480-867-6648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLCOX",
        "first_name": "BRADLEY",
        "middle_name": "J",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-24",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D3886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Wilkinson
• Will2Walk Homecare Services, LLC
• Nickolas K Willard, CRNA
• Aaron Willardson, MOTR/L
• Emma Janice Willcocks, MD
• Keiko H Willcox, DDS DMD PHD
• Catherine Willenborg, PAC
• Katherine J Willett Goehring, CFNP
• William G Halliday III DDS PLC
• William L Redenius MD PC

• General Practice Dentistry in Scottsdale, AZ
• Providers in Scottsdale, 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 May 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.