Lucas Brimley

Primary specialty

DentistTaxonomy code 122300000X

License

D009053 Issued in AZ

Practice address

6544 W Thomas Rd Ste 8
Phoenix, AZ 85033-5739

Phone

(623) 845-7400

NPI assigned

Jul 29, 2014

Last updated

Sep 30, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Arizona Dental and Orthodontics PLLC

  dba Diazo Family Dental and Braces

  • Dental Clinic/Center
  • Phoenix, AZ
  • NPI 1245062058
  NPD Authorized official
• Phoenix West Dental Partners LLC

  dba Risas Dental and Braces

  • General Practice Dentistry
  • Phoenix, AZ
  • NPI 1871358101
  NPD (past)

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

{
    "created_epoch": "1406592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1083022420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6544 W THOMAS RD STE 8",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850335739",
            "telephone_number": "623-845-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6544 W THOMAS RD STE 8",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850335739",
            "telephone_number": "623-845-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIMLEY",
        "first_name": "LUCAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-29",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D009053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aimee Brimhall, CRNA
• Jalan T Brimhall
• Melissa Brimhall, MS, CCC-SLP
• Brimley Dental PLLC (Brimley Dental)
• Alexander Clark Brimley, DDS
• Sydney Elizabeth Briner, DC
• Stephanie Briney, DO
• Andrea Bringas, RBT
• Tysen Charles Bringhurst, OD
• Jared Brink, PMHNP-BC

• Dentist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.