Biltmore Periodontics, PLLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

D008400 Issued in AZ

Legal business name

BILTMORE PERIODONTICS, PLLC

Practice address

1277 E Missouri Ave
Suite 102
Phoenix, AZ 85014-2915

Phone

(602) 266-5896

Fax

(602) 274-6114

NPI assigned

May 6, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Kurt D Wallin, D.M.D.

Title

Owner/Dentist

Phone

(602) 266-5896

Specialties & licenses 1

Addresses

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.

• Biltmore Periodontics, PLLC

  • Dental Clinic/Center
  • Phoenix, AZ
  • NPI 1710481098
  NPD tax ID

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

{
    "created_epoch": "1462492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462492800000",
    "number": "1902252166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1277 E MISSOURI AVE",
            "address_2": "SUITE 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142915",
            "telephone_number": "602-266-5896",
            "fax_number": "602-274-6114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1277 E MISSOURI AVE",
            "address_2": "SUITE 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142915",
            "telephone_number": "602-266-5896",
            "fax_number": "602-274-6114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BILTMORE PERIODONTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-06",
        "last_updated": "2016-05-06",
        "status": "A",
        "authorized_official_last_name": "WALLIN",
        "authorized_official_first_name": "KURT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "602-266-5896",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "AZ",
            "license": "D008400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Biltmore Medical Center PC
• Biltmore Medical Supplies Inc
• Biltmore Orthopedic Associates, PLLC
• Biltmore Pediatric Dental Group
• Biltmore Periodontics, PLLC
• Biltmore Physical Medicine LLC
• Biltmore Psychiatric Group
• Biltmore Psychology Services
• Biltmore Spinal Health, LLC
• Biltmore Surgical Partners, LLC

• Periodontics in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Periodontics in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2016; 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.