Burgardt and Diaz Dental Group, PLLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

BURGARDT AND DIAZ DENTAL GROUP, PLLC

Practice address

13260 N 94TH Dr Ste 410
Peoria, AZ 85381-4241

Phone

(620) 260-5655

NPI assigned

Jun 16, 2020

Last updated

Jul 1, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Grayson John Burgardt, DDS, MSDNPI 1326481995

Title

Member, Manager, and Employee

Phone

(620) 260-5655

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Grayson John Burgardt, DDS

  • Periodontics
  • Peoria, AZ
  • NPI 1326481995
  NPD Authorized official
• Janice Annette Diaz

  • General Practice Dentistry
  • San Juan, PR
  • NPI 1811227804
  NPD

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

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593561600000",
    "number": "1972128858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6519 E BLUEFIELD AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850546741",
            "telephone_number": "620-260-5655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13260 N 94TH DR STE 410",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814241",
            "telephone_number": "620-260-5655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURGARDT AND DIAZ DENTAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-16",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A",
        "authorized_official_last_name": "BURGARDT",
        "authorized_official_first_name": "GRAYSON",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "MEMBER, MANAGER, AND EMPLOYEE",
        "authorized_official_telephone_number": "620-260-5655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Bunjovac, FNP-C
• Nacona Bunker, PSYD
• Jennifer Buonano, DC
• Mary Kate Burdick, DVM
• Melissa Burdick, PHARM.D.
• Grayson John Burgardt, DDS
• Jodi Burgess, PHARMD
• Roxanne Burgos
• Justin Burke
• Michael Burke, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.