Brannon Waldman Dental Group

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

BRANNON WALDMAN DENTAL GROUP

Practice address

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

Phone

(480) 563-0000

Fax

(480) 563-4445

NPI assigned

Nov 4, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Mark Brannon, DDS

Title

Owner

Phone

(480) 563-0000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415059200000",
    "number": "1447655386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21809 N SCOTTSDALE RD",
            "address_2": "C 105",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852557440",
            "telephone_number": "480-563-0000",
            "fax_number": "480-563-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21809 N SCOTTSDALE RD",
            "address_2": "C 105",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852557440",
            "telephone_number": "480-563-0000",
            "fax_number": "480-563-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANNON WALDMAN DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-04",
        "last_updated": "2014-11-04",
        "status": "A",
        "authorized_official_last_name": "BRANNON",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-563-0000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shari Brand, M.D.
• Brandon Suedekum MD, PC (Summit Eye Surgeons)
• Brandon W. Curtis PLLC
• Jared Wainscott Brandt, D.C.
• Mary J Brannock, DDS
• Sarah Brannon
• Michael Branson, DPT
• Keith A Branstiter
• Nicole Branstiter, OTR/L, CHT
• Bratton Rappa Dentistry PC

• 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 Nov 4, 2014; 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.