PHOENIX FACE, PLLC
NPI 1487349411
Oral & Maxillofacial Surgery in Glendale, AZ

Active since April 06, 2023
5757 W THUNDERBIRD RD STE W301, GLENDALE, AZ 85306(602) 938-3777 Get Directions Write a Review

NPPES record last updated: April 6, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Phoenix Face, Pllc NPPES

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

PHOENIX FACE, PLLC (NPI 1487349411) is a healthcare organization registered as an oral & maxillofacial surgery in Glendale, Arizona and active in the NPI registry since April 2023. The organization lists Troy Lam, Member, as its authorized official.

NPPES Registry Identity

NPI1487349411
Entity TypeOrganization
Primary Taxonomy204E00000X
Legal Business NamePHOENIX FACE, PLLC
Location Address5757 W THUNDERBIRD RD STE W301Glendale, AZ 85306-5606
Mailing AddressPo Box 73152Phoenix, AZ 85050-1036
Organization SubpartNo
Authorized OfficialTroy LamMember · (315) 416-0678
Enumeration DateApril 6, 2023
NPPES CertifiedApril 6, 2023
✔ NPI 1487349411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
5757 W THUNDERBIRD RD STE W301, Glendale, AZ 85306

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Phoenix Face, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Phoenix Face, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Oral Surgery
NPI 1851706048
5757 W THUNDERBIRD RD STE W301
Glendale, AZ 85306
(602) 938-3777
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Phoenix Face, PLLC's NPI number?

The NPI number for Phoenix Face, PLLC is 1487349411. It was assigned to this organization in the NPPES registry on April 6, 2023.

Where is Phoenix Face, PLLC located?

Phoenix Face, PLLC is located at 5757 W Thunderbird Rd Ste W301, Glendale, AZ 85306. The listed phone number is (602) 938-3777.

What is Phoenix Face, PLLC's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Phoenix Face, PLLC enrolled in Medicare?

Yes. Phoenix Face, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Phoenix Face, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Oral Surgery) reassigns their Medicare billing to Phoenix Face, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Phoenix Face, PLLC accept?

Health plans from Ambetter Health and Ambetter from Arizona Complete Health list Phoenix Face, PLLC 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 Phoenix Face, PLLC was last updated on April 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.