Individual provider Active NPI

Ernest Franklin Delmoe, DDS

  • General Practice Dentistry
  • Peoria, AZ
National Provider Identifier
1912999509
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D4509 Issued in AZ
Practice address
13760 N 93Rd Ave
Suite 111
Peoria, AZ 85381-4250
Phone
(623) 933-6010
Fax
(623) 933-6523
NPI assigned
Aug 18, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 D4509 AZ Primary

Addresses

Primary practice location

13760 N 93Rd Ave
Suite 111
Peoria, AZ 85381-4250

Mailing address

13760 N 93Rd Ave
Suite 111
Peoria, AZ 85381-4250
Phone (623) 933-6010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Sep 22, 2015 through Sep 22, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D4509AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Midwestern University PastSince Sep 29, 2024 Accepting new patients

Organizations & group practices 1

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": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1912999509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13760 N 93RD AVE",
            "address_2": "SUITE 111",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814250",
            "telephone_number": "623-933-6010",
            "fax_number": "623-933-6523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13760 N 93RD AVE",
            "address_2": "SUITE 111",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814250",
            "telephone_number": "623-933-6010",
            "fax_number": "623-933-6523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELMOE",
        "first_name": "ERNEST",
        "middle_name": "FRANKLIN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D4509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.