Brenon K Farmer, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10548 Issued in AZ

Practice address

860 W. Cleveland
Suite 5
Saint Johns, AZ 85936

Phone

(283) 379-9990

NPI assigned

Jun 22, 2010

Last updated

Apr 3, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Adobe Hills Dental, PLLC

  • Dental Clinic/Center
  • Saint Johns, AZ
  • NPI 1932738895
  NPD Authorized official
• Brenon Farmer, DDS, P.C.

  • General Practice Dentistry
  • Huron, SD
  • NPI 1003114075
  NPD (past) Authorized official
• Charles D. Hoffman, DDS, PC

  • General Practice Dentistry
  • Huron, SD
  • NPI 1841295789
  NPD (past)

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

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585872000000",
    "number": "1588985808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 395",
            "city": "SAINT JOHNS",
            "state": "AZ",
            "postal_code": "859360395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 W. CLEVELAND",
            "address_2": "SUITE 5",
            "city": "SAINT JOHNS",
            "state": "AZ",
            "postal_code": "85936",
            "telephone_number": "283-379-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARMER",
        "first_name": "BRENON",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-22",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "10548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harry Shelton Cole Jr., LMFT
• Community Awareness Resource Entity of Arizona
• Community Bridges, Inc. (LCBH St. John's OP Adolescent Program)
• Marvin Cabilangan Depas, FNP
• Nancy Ann Downs
• Kimberly Dawn Farmer, LPC
• Brittany Gray, PTA
• Wendy Lynne Guffey, LISAC
• Hancock Comprehensive Dentistry
• Adelle Hancock, SLP-A

• General Practice Dentistry in Saint Johns, AZ
• Providers in Saint Johns, 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 Apr 3, 2020; 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.