Individual provider Active NPI

Breanna Rose Birk, DMD

  • General Practice Dentistry
  • Phoenix, AZ
National Provider Identifier
1750949582
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D010357 Issued in AZ
Practice address
4550 E Bell Rd Ste 190
Phoenix, AZ 85032-9383
Phone
(480) 565-7473
NPI assigned
Jun 5, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D010357 AZ Primary

Addresses

Primary practice location

4550 E Bell Rd Ste 190
Phoenix, AZ 85032-9383

Mailing address

4550 E Bell Rd Ste 190
Phoenix, AZ 85032-9383
Phone (605) 480-2985

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190917002897 AZ Order and Referring Only - DentistPractitioner - Dentist 3870822869

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Birk Dental PLLC CurrentSince May 25, 2025 Accepting new patients
Cave Creek Dentistry, LLP General Practice Past Accepting new patients
Highbury Dental Management, LLC PastSince Jan 17, 2021 Accepting new patients

Locations

4550 E Bell Rd
Ste 190
Phoenix, AZ 85032
Phone (480) 565-7473

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1750949582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 E BELL RD STE 190",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850329383",
            "telephone_number": "605-480-2985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 E BELL RD STE 190",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850329383",
            "telephone_number": "480-565-7473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRK",
        "first_name": "BREANNA",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-05",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D010357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.