Individual provider Active NPI

Brent C Call, DMD

  • General Practice Dentistry
  • Mesa, AZ
National Provider Identifier
1235249020
Registry record updated Dec 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D6505 Issued in AZ
Practice address
6328 E Brown Rd Ste 101
Mesa, AZ 85205-4841
Phone
(480) 325-5700
Fax
(480) 831-9352
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D6505 AZ Primary

Addresses

Primary practice location

6328 E Brown Rd Ste 101
Mesa, AZ 85205-4841

Mailing address

6311 S Roanoke St
Gilbert, AZ 85298-5765
Phone (480) 773-3590

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160105002838 AZ Order and Referring Only - DentistPractitioner - Dentist 8729380951

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D6505AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Valleywide Sunshine Dental Care LLC Past Accepting new patients
CKHH Dental PLLC General Practice Past Accepting new patients

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450742400000",
    "number": "1235249020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6311 S ROANOKE ST",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852985765",
            "telephone_number": "480-773-3590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6328 E BROWN RD STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852054841",
            "telephone_number": "480-325-5700",
            "fax_number": "480-831-9352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALL",
        "first_name": "BRENT",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2015-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D6505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.