Active NPI
Alexander Clark Brimley, DDS
- Dentist
- Phoenix, AZ
National Provider Identifier
1154949550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- PD0025
- Practice address
- 4317 E McDowell Rd
Phoenix, AZ 85008-4501 - Phone
- (602) 633-0405
- NPI assigned
- Jul 12, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | PD0025 | AZ | Primary |
Addresses
Primary practice location
4317 E McDowell Rd
Phoenix, AZ 85008-4501
Mailing address
10124 E Plata Ave
Mesa, AZ 85212-2369
Phone (480) 404-3118
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PD0025 | AZ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brimley Dental PLLC | General Practice | Current | Accepting new patients |
| Arcadia Dental Partners LLC | General Practice | Current | Accepting new patients |
Locations
2320 E Baseline Rd
Ste 160
Phoenix, AZ 85042
Phone (602) 243-6900
4317 E McDowell Rd
Phoenix, AZ 85008
Phone (602) 633-0405
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594598400000",
"number": "1154949550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10124 E PLATA AVE",
"city": "MESA",
"state": "AZ",
"postal_code": "852122369",
"telephone_number": "480-404-3118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4317 E MCDOWELL RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850084501",
"telephone_number": "602-633-0405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRIMLEY",
"first_name": "ALEXANDER",
"middle_name": "CLARK",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-12",
"last_updated": "2020-07-13",
"certification_date": "2020-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "PD0025",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.