Individual provider Active NPI

Michael J. Bricker, D.D.S.,M.A.G.D.

  • Dentist
  • Pearce, AZ
National Provider Identifier
1821114265
Registry record updated Aug 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D4202 Issued in AZ
Practice address
233 N Frontage Road
Pearce, AZ 85625
Phone
(520) 826-3444
NPI assigned
Mar 21, 2007
Last updated
Aug 10, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D4202 AZ
Dentist 122300000X D4202 AZ Primary

Addresses

Primary practice location

233 N Frontage Road
Pearce, AZ 85625

Mailing address

3497 W Lost Village LN
Tucson, AZ 85746-7509
Phone (520) 236-0449

Other practice location 1

1000 Willow Creek Rd
Suite E
Prescott, AZ 86301-1645
Phone (928) 771-1955

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

LicenseStateTypeSpecialty
D4202AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Smiles Dentistry of Sierra Vista, PLLC Dentist Current Accepting new patients
Associated Dental Care Providers, LLC General Practice Past Accepting new patients
I Smile at Pearce LLC General Practice PastSince Aug 16, 2020 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597017600000",
    "number": "1821114265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3497 W LOST VILLAGE LN",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857467509",
            "telephone_number": "520-236-0449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 N FRONTAGE ROAD",
            "city": "PEARCE",
            "state": "AZ",
            "postal_code": "85625",
            "telephone_number": "520-826-3444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Willow Creek Rd",
            "address_2": "Suite E",
            "address_purpose": "LOCATION",
            "city": "Prescott",
            "state": "AZ",
            "postal_code": "863011645",
            "country_code": "US",
            "telephone_number": "928-771-1955",
            "fax_number": "928-771-1977",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRICKER",
        "first_name": "MICHAEL",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.,M.A.G.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D4202",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D4202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearce, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; 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.