Brasiliopuntia, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BRASILIOPUNTIA, LLC

Doing business as

Gilbert Road Dental Care

Practice address

2158 N Gilbert Rd
Suite 123
Mesa, AZ 85203-2109

Phone

(480) 649-7200

NPI assigned

May 17, 2016

Organization subpart

No

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

Authorized official

Name

Mr. James P Lanphere, MBA

Title

Director of Finance

Phone

(602) 225-0595

Specialties & licenses 1

Addresses

Other names 1

• Gilbert Road Dental Care Doing business as

Locations

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

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463443200000",
    "number": "1457708786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61025",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850821025",
            "telephone_number": "602-225-0595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2158 N GILBERT RD",
            "address_2": "SUITE 123",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852032109",
            "telephone_number": "480-649-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRASILIOPUNTIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-17",
        "last_updated": "2016-05-17",
        "status": "A",
        "authorized_official_last_name": "LANPHERE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "602-225-0595",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gilbert Road Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Raymond Edward Branton, PSY.D.
• Barbara J Branyan
• Kristie Braselton, LAMFT
• Jodie Brasfield, ACNP
• Sarah Brashear, IBCLC
• Susana Mabel Brat
• Hunter Bratrud
• Randy M. Bratrud, P.T.
• Susan D. Bratrud, P.T.
• Ashley A. Brattel, M.S. CCC-SLP

• General Practice Dentistry in Mesa, AZ
• Providers in Mesa, 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 May 17, 2016; 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.