Christopher Justin Micu

Primary specialty

DentistTaxonomy code 122300000X

License

D012821 Issued in AZ

Practice address

8345 W Thunderbird Rd Ste B100
Peoria, AZ 85381-3668

Phone

(602) 943-3700

NPI assigned

May 30, 2026

Last updated

Oct 19, 2026By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ultra Dental Peoria LLC

  dba Ultra Dental - Peoria

  • Dentist
  • Peoria, AZ
  • NPI 1336835222
  NPD (past)

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

{
    "created_epoch": "1780099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792368000000",
    "number": "1912839580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8345 W THUNDERBIRD RD STE B100",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853813668",
            "telephone_number": "602-943-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8345 W THUNDERBIRD RD STE B100",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853813668",
            "telephone_number": "602-943-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICU",
        "first_name": "CHRISTOPHER",
        "middle_name": "JUSTIN",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-05-30",
        "last_updated": "2026-10-19",
        "certification_date": "2026-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D012821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camille Miake, PHARM.D.
• Michael a Hart PLLC
• Emilie Michael, PMHNP-BC, FNP-C
• Danielle Michalak, LPN
• Michelle M. Mahour DDS PC
• Walter Honorio Migotto, M.D.
• Amanda Lynn Mihalo, LCSW
• Lisa Dianne Mihora, MD
• Svetiana Mijalski
• Chantel Marie Miladinovic

• Dentist in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2026; 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.