DR. VICTOR R MCKERLIE (NPI# 1114054996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114054996 |
| Entity Type | Individual |
| Full Name | DR. VICTOR R MCKERLIE |
| Credential | D.M.D. |
| Practice Address |
5302 E Van Buren St # 3039 Phoenix AZ 85008-7965 |
| Mailing Address |
27562 Big Bend Rd Bonita Springs FL 34134-3937 |
| Practice Telephone | 9282734054 |
| Mailing Telephone | 9282734054 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2013-03-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
4419 | AZ | Dental Providers |
| Street Address |
5302 E VAN BUREN ST # 3039 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85008-7965 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043736820 | Obifit | Clinic/Center | 5302 E Van Buren St, Phoenix, AZ 85008-7965 | 2017-08-14 |
| 1861742595 | Papago Transport Services | Taxi | 5302 E Van Buren St, 2015, Phoenix, AZ 85008-7965 | 2012-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821607060 | Am Apnea and Tmj LLC | Durable Medical Equipment & Medical Supplies | 2303 N. 44thst., Suite 14-1008, Phoenix, AZ 85008 | 2020-07-23 |
| 1194341131 | Abdulbaril Olandapo Olagunju | Student in an Organized Health Care Education/Training Program | 2601 E Roosevelt Street, Valleywise Health, Phoenix, AZ 85008 | 2020-06-24 |
| 1376164632 | Abdul Rahman Raed Mustafa Halawa | Student in an Organized Health Care Education/Training Program | 2601 E Roosevelt St Valleywise Health, Phoenix, AZ 85008 | 2020-04-28 |
| 1245869460 | Zachary Masuda | Student in an Organized Health Care Education/Training Program | Valleywise Health Medical Center, 2601 E Roosevelt St, Phoenix, AZ 85008 | 2020-04-08 |
| 1942840145 | Cana Behavior LLC | Physical Therapist | 2412 N 36 Pl, Phoenix, AZ 85008 | 2020-01-15 |
| 1871158188 | Fred Gardezy | Student in an Organized Health Care Education/Training Program | Maricopa Integrated Health System 2601 E. Roosevelt St., Phoenix, AZ 85008 | 2019-05-02 |
| 1225692346 | Navkaran Singh Girgla | Student in an Organized Health Care Education/Training Program | 2601 East Roosevelt St., Phoenix, AZ 85008 | 2019-04-24 |
| 1316412323 | Southwest Human Developement | Early Intervention Provider Agency | 2850 N 24h Street, Phoenix, AZ 85008 | 2018-10-05 |
| 1558885970 | Mona Ridhwan Ziems | Midwife | 1919 N 31st St, Phoenix, AZ 85008 | 2017-07-27 |
| 1093244451 | Shana Cynamon | Audiologist | 1801 N 37th Pl, Phoenix, AZ 85008 | 2017-06-08 |
| Find all providers in zip 85008 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205441136 | Maryvale Dental Studio | Dentist | 7614 W Indian School Rd # 2, Phoenix, AZ 85033-3035 | 2020-09-08 |
| 1912516535 | Ford Calaway Dentistry & Orthodontics LLC | Dentist | 2111 E Highland Ave Ste B, Phoenix, AZ 85016-4741 | 2020-07-29 |
| 1568085637 | Family Dental Phoenix | Dentist | 2401 W Glendale Ave Ste 102, Phoenix, AZ 85021-7621 | 2020-05-24 |
| 1699308866 | Signature Dental Partners LLC | Dentist | 410 N 44th St Ste 290, Phoenix, AZ 85008-7622 | 2020-02-17 |
| 1164062618 | Smile Dentistry Pllc | Dentist | 1238 E. Chandler Blvd. #101, Phoenix, AZ 85048 | 2020-01-13 |
| 1942849146 | Risas O.s. Dental Partners Az LLC | Dentist | 7442 W. Thomas Rd., Phoenix, AZ 85033 | 2020-01-06 |
| 1831748532 | Benjamin Paul Chalom Baranes | Dentist | 5225 N 19th Ave Ste C, Phoenix, AZ 85015-2903 | 2019-09-05 |
| 1346800760 | Sonoran Sky Family Dentistry | Dentist | 9515 West Camelback Road, Suite #120, Phoenix, AZ 85037 | 2019-06-18 |
| 1376101188 | Bethany Helen Armendariz | Dentist | 4757 E Greenway Rd # Set108, Phoenix, AZ 85032-8513 | 2019-06-05 |
| 1851958300 | Smile Dental Studio | Dentist | 10209 N 35th Ave Ste 129, Phoenix, AZ 85051-9619 | 2019-05-21 |
| Find all providers in PHOENIX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.