Laura Judson Sibrava, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

8534 Issued in AZ

Practice address

21809 N Scottsdale Rd
Suite C-105
Scottsdale, AZ 85255-7440

Phone

(480) 563-0000

Fax

(480) 563-4445

NPI assigned

Oct 5, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1349395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484179200000",
    "number": "1376895904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21479 N 78TH DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853823336",
            "telephone_number": "847-630-4256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21809 N SCOTTSDALE RD",
            "address_2": "SUITE C-105",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852557440",
            "telephone_number": "480-563-0000",
            "fax_number": "480-563-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIBRAVA",
        "first_name": "LAURA",
        "middle_name": "JUDSON",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-05",
        "last_updated": "2017-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "8534",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NM",
            "license": "DD3813",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "25501585",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2017; 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.