Bradley Xavier Demark, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6025 Issued in AZ

Practice address

7500 E McDonald Dr
Suite 101-B
Scottsdale, AZ 85250-6052

Phone

(480) 998-3355

Fax

(480) 948-5153

NPI assigned

Nov 1, 2006

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

State licenses

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396823266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 E MCDONALD DR",
            "address_2": "SUITE 101-B",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852506052",
            "telephone_number": "480-998-3355",
            "fax_number": "480-948-5153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 E MCDONALD DR",
            "address_2": "SUITE 101-B",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852506052",
            "telephone_number": "480-998-3355",
            "fax_number": "480-948-5153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMARK",
        "first_name": "BRADLEY",
        "middle_name": "XAVIER",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "6025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald P Deluca, CRNA
• Nicholas Delugt
• Ruth B. Delvecchio, MA CCC-SLP
• Michael R Demangone, MD
• Aymet Demara, LISAC
• Natalie Elene Demartini, LMSW
• Lynn Adair Demasters, PA
• Desiree Shantae Demby
• Kimberly Nicole Demelio
• Stacie E Dement, P.A.-C.

• General Practice Dentistry in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.