Mary J. Brannock DDS PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

4818 Issued in AZ

Legal business name

MARY J. BRANNOCK DDS PC

Practice address

13430 N Scottsdale Rd
#100
Scottsdale, AZ 85254-4057

Phone

(480) 922-0600

Fax

(480) 922-0981

NPI assigned

Sep 19, 2007

Last updated

Sep 19, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David W Brannock

Title

Ofice Manager

Phone

(480) 922-0600

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary J Brannock, DDS

  • Dentist
  • Scottsdale, AZ
  • NPI 1992874689
  NPD (past)
• Kevin Anthony Guzman, DMD

  • General Practice Dentistry
  • Scottsdale, AZ
  • NPI 1316132707
  NPD (past)

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1548456924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13430 N SCOTTSDALE RD",
            "address_2": "#100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852544057",
            "telephone_number": "480-922-0600",
            "fax_number": "480-922-0981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13430 N SCOTTSDALE RD",
            "address_2": "#100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852544057",
            "telephone_number": "480-922-0600",
            "fax_number": "480-922-0981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY J. BRANNOCK DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "BRANNOCK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OFICE MANAGER",
        "authorized_official_telephone_number": "480-922-0600"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AZ",
            "license": "4818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL",
            "identifier": "1992874689",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Martz Care LLC (Right at Home)
• Dani Ranae Martz, LISAC
• Marvin Borsand PC (Body Sculpting Center)
• Marvin R. Goldstein, MD, LTD
• Tyler Marx
• Mary M. Buhman Therapy Services PC (Mary M Buhman Therapy Services, PLLC)
• Mary R Schnepf, PLLC
• Kim Padgett Maryhew, M.S., CCC-SLP
• Maryland Urgent Care Provider Network, LLC
• Jennifer Marziali, RD

• Dental Clinic/Center in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Dental Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; 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.