Organization Active NPI

West Valley Braces

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Peoria, AZ
National Provider Identifier
1114565744
Registry record updated Dec 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
WEST VALLEY BRACES
Practice address
14100 N 83Rd Ave Ste 280
Peoria, AZ 85381-5660
Phone
(623) 935-9873
NPI assigned
Dec 13, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2019

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

Authorized official

Name
Terry Barnes
Title
Director of Opersations
Phone
(623) 935-9873

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

14100 N 83Rd Ave Ste 280
Peoria, AZ 85381-5660

Mailing address

14100 N 83Rd Ave Ste 280
Peoria, AZ 85381-5660
Phone (623) 935-9873

Other names 1

  • West Valley Pediatric Dentistry & Orthodontics Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1576195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576195200000",
    "number": "1114565744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14100 N 83RD AVE STE 280",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853815660",
            "telephone_number": "623-935-9873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14100 N 83RD AVE STE 280",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853815660",
            "telephone_number": "623-935-9873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST VALLEY BRACES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-13",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "DIRECTOR OF OPERSATIONS",
        "authorized_official_telephone_number": "623-935-9873"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Valley Pediatric Dentistry & Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.