Individual provider Active NPI

Brian Robert Banfield, DMD

  • Endodontics
  • Gilbert, AZ
National Provider Identifier
1396925244
Registry record updated Nov 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
6826 Issued in AZ
Practice address
3303 S Lindsay Rd Ste 127
Gilbert, AZ 85297-2100
Phone
(480) 699-2940
Fax
(480) 699-2941
NPI assigned
Nov 8, 2007
Last updated
Nov 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 6826 AZ Primary

Addresses

Primary practice location

3303 S Lindsay Rd Ste 127
Gilbert, AZ 85297-2100

Mailing address

3303 S. Lindsay Road, #127
Gilbert, AZ 85297
Phone (480) 699-2940

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
I20151119000741 AZ Order and Referring Only - DentistPractitioner - Dentist 6901106194

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6826AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Endodontics Endodontics Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194480000000",
    "number": "1396925244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 S. LINDSAY ROAD, #127",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "85297",
            "telephone_number": "480-699-2940",
            "fax_number": "480-699-2941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 S LINDSAY RD STE 127",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852972100",
            "telephone_number": "480-699-2940",
            "fax_number": "480-699-2941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANFIELD",
        "first_name": "BRIAN",
        "middle_name": "ROBERT",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-08",
        "last_updated": "2007-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "AZ",
            "license": "6826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.