MDBB Management LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

MDBB MANAGEMENT LLC

Practice address

1842 E Baseline Rd
Tempe, AZ 85283-1514

Phone

(480) 576-6323

NPI assigned

Jul 3, 2020

Organization subpart

No

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

Authorized official

Name

Bart Palmisano

Title

Officer

Phone

(727) 522-5599

Specialties & licenses 1

Addresses

Other names 1

• Orthodontic Specialists of Arizona Doing business as

Locations

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

{
    "created_epoch": "1593734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593734400000",
    "number": "1992322192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1842 E BASELINE RD",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1842 E BASELINE RD",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831514",
            "telephone_number": "480-576-6323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDBB MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-03",
        "last_updated": "2020-07-03",
        "certification_date": "2020-07-03",
        "status": "A",
        "authorized_official_last_name": "PALMISANO",
        "authorized_official_first_name": "BART",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "727-522-5599"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthodontic Specialists of Arizona",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Keith E McReynolds, MD
• Heather McStay
• Katie J McWhirter, MS, RD
• MD Business Solutions Corp
• MD Business Solutions Corp
• Hayley Jean Meacham, BCBA
• Donald Meador
• Med Ride LLC
• Medcore Supplies LLC
• Medex Group

• Orthodontics and Dentofacial Orthopedics Dentistry in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.