Active NPI
Kevin Brian Cebrynski, DDS
- Prosthodontics
- Scottsdale, AZ
National Provider Identifier
1477709004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 4475
- Practice address
- 9097 E Desert Cove Dr Ste 240
Scottsdale, AZ 85260-6277 - Phone
- (480) 661-6541
- NPI assigned
- Aug 14, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 4475 | AZ | Primary |
Addresses
Primary practice location
9097 E Desert Cove Dr Ste 240
Scottsdale, AZ 85260-6277
Mailing address
9097 E Desert Cove Dr Ste 240
Scottsdale, AZ 85260-6277
Phone (480) 661-6541
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4475 | AZ | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218672000000",
"number": "1477709004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9097 E DESERT COVE DR STE 240",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852606277",
"telephone_number": "480-661-6541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9097 E DESERT COVE DR STE 240",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852606277",
"telephone_number": "480-661-6541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CEBRYNSKI",
"first_name": "KEVIN",
"middle_name": "BRIAN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-14",
"last_updated": "2008-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "AZ",
"license": "4475",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.