A PAUL SERRANO DDS PC
NPI 1609989748
Dentist - Orthodontics and Dentofacial Orthopedics in Phoenix, AZ

Active since August 15, 2006
1515 E MISSOURI, STE 101, PHOENIX, AZ 85014(602) 274-7840(602) 274-7956 Get Directions Write a Review

NPPES record last updated: December 2, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About A Paul Serrano Dds Pc NPPES

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

A PAUL SERRANO DDS PC (NPI 1609989748) is a healthcare organization registered as an orthodontics and dentofacial orthopedics in Phoenix, Arizona and active in the NPI registry since August 2006. The organization lists Albert Paul Serrano, Owner/dds, as its authorized official.

NPPES Registry Identity

NPI1609989748
Entity TypeOrganization
Primary Taxonomy1223X0400X
Legal Business NameA PAUL SERRANO DDS PC
Location Address1515 E MISSOURI, STE 101Phoenix, AZ 85014-2443
Mailing Address1515 E Missouri, Ste 101Phoenix, AZ 85014-2443 · (602) 274-7840 · Fax (602) 274-7956
Fax(602) 274-7956
Organization SubpartNo
Authorized OfficialAlbert Paul SerranoOwner/dds · (602) 274-7840
Enumeration DateAugust 15, 2006
Last NPPES UpdateDecember 2, 2010
✔ NPI 1609989748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
Licenses✔ Licensed in AZ · D2814✔ Licensed in AZ · D5543
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
1515 E MISSOURI, Phoenix, AZ 85014

Other Identifiers 1

Medicare NSC6392840001

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

A Paul Serrano Dds Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateArizonaEnrollment IDO20130322000074Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to A Paul Serrano DDS PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Maxillofacial Surgery
NPI 1366783060
1515 E MISSOURI AVE SUITE 101
Phoenix, AZ 85014
(602) 274-7840
✔ PECOSSame 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 A Paul Serrano Dds PC's NPI number?

The NPI number for A Paul Serrano Dds PC is 1609989748. It was assigned to this organization in the NPPES registry on August 15, 2006.

Where is A Paul Serrano Dds PC located?

A Paul Serrano Dds PC is located at 1515 E Missouri Ste 101, Phoenix, AZ 85014. The listed phone number is (602) 274-7840.

What is A Paul Serrano Dds PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

Is A Paul Serrano Dds PC enrolled in Medicare?

Yes. A Paul Serrano Dds PC is registered in the Medicare PECOS enrollment system.

When is A Paul Serrano Dds PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arizona, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through A Paul Serrano Dds PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Maxillofacial Surgery) reassigns their Medicare billing to A Paul Serrano Dds PC. 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.

When was this NPI record last updated?

The NPPES record for A Paul Serrano Dds PC was last updated on December 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.