Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. HOLLY ANN MCKNIGHT D.D.S.
NPI 1124324876
Dentist - Periodontics in Phoenix, AZ

Q: What is Holly Mcknight's NPI number?

The NPI number for Holly Mcknight is 1124324876. It was assigned to this individual provider in the NPPES registry on January 27, 2011. The provider is also known as Dr. Holly Ann Bourek D.D.S..

Q: What is Holly Mcknight's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Q: Is Holly Mcknight enrolled in Medicare?

No. Holly Mcknight has opted out of Medicare through July 3, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Holly Mcknight was last updated on September 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 27, 2011Opted out of Medicare · through Jul 3, 2028

4202 N 32ND ST STE D, PHOENIX, AZ 85018(602) 956-0650 Get Directions Write a Review

NPPES record last updated: September 30, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

On this page

About Dr. Holly Ann Mcknight D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. HOLLY ANN MCKNIGHT D.D.S. (NPI 1124324876) is an individual periodontics provider in Phoenix, Arizona, licensed in Arizona (D008705) and active in the NPI registry since January 2011. She has opted out of Medicare through July 3, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1124324876

Entity TypeIndividualFemale

Primary Taxonomy1223P0300X

Provider Legal NameDR. HOLLY ANN MCKNIGHTCredential: D.D.S.

Location Address4202 N 32ND ST STE DPhoenix, AZ 85018-4764

Mailing Address4202 N 32nd St Ste DPhoenix, AZ 85018-4764 · (602) 956-0650

Phone(602) 956-0650

Sole ProprietorYes

Enumeration DateJanuary 27, 2011

Last NPPES UpdateSeptember 30, 2026

NPPES CertifiedSeptember 30, 2026

✔ NPI 1124324876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in AZ · D008705

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

4202 N 32ND ST STE D, Phoenix, AZ 85018

Open in Google Maps ↗

Other Names 1

Former Name (1)Dr. Holly Ann Bourek D.d.s.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Arizona.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Holly Ann Mcknight D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 3, 2014 through July 3, 2028.

Opt-Out Effective DateJuly 3, 2014

Opt-Out In Effect ThroughJuly 3, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85018 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Holly Mcknight's NPI number?

The NPI number for Holly Mcknight is 1124324876. It was assigned to this individual provider in the NPPES registry on January 27, 2011. The provider is also known as Dr. Holly Ann Bourek D.D.S..

Where is Holly Mcknight located?

Holly Mcknight practices at 4202 N 32nd St Ste D, Phoenix, AZ 85018. The listed phone number is (602) 956-0650.

What is Holly Mcknight's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Holly Mcknight enrolled in Medicare?

No. Holly Mcknight has opted out of Medicare through July 3, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Holly Mcknight accept?

Health plans from Delta Dental of Arizona list Holly Mcknight as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Holly Mcknight was last updated on September 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.