NPIMap

Organization Active NPI

Biltmore Periodontics, PLLC

  • Dental Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1710481098
Registry record updated Mar 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
7751 Issued in AZ
Legal business name
BILTMORE PERIODONTICS, PLLC
Practice address
1277 E Missouri Ave Ste 102
Phoenix, AZ 85014-2916
Phone
(480) 218-7590
Fax
(480) 218-2247
NPI assigned
Mar 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2018

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

Authorized official

Name
Penny Sue McKinney
Title
Office Manager
Phone
(480) 218-7590

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 7751 AZ Primary

Addresses

Primary practice location

1277 E Missouri Ave Ste 102
Phoenix, AZ 85014-2916

Mailing address

6755 E. Superstition Springs Blvd
Ste. 102
Mesa, AZ 85206
Phone (480) 218-7590

National Provider Directory

National Provider Directory
Tax ID family
Biltmore Periodontics PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1521590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521590400000",
    "number": "1710481098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6755 E. SUPERSTITION SPRINGS BLVD",
            "address_2": "STE. 102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85206",
            "telephone_number": "480-218-7590",
            "fax_number": "480-218-2247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1277 E MISSOURI AVE STE 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142916",
            "telephone_number": "480-218-7590",
            "fax_number": "480-218-2247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BILTMORE PERIODONTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-21",
        "last_updated": "2018-03-21",
        "status": "A",
        "authorized_official_last_name": "MCKINNEY",
        "authorized_official_first_name": "PENNY",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "480-218-7590"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AZ",
            "license": "7751",
            "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 Mar 21, 2018; 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.