Irene Aves Broyles DDS PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

IRENE AVES BROYLES DDS PC

Practice address

209 S Washington St
Raymore, MO 64083-9729

Phone

(816) 331-3456

NPI assigned

Jan 31, 2013

Last updated

Jan 31, 2013By 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

Dr. Irene Aves Broyles, D.D.S.NPI 1851503163

Title

Owner

Phone

(816) 331-3456

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Irene Broyles, DDS

  • General Practice Dentistry
  • Raymore, MO
  • NPI 1851503163
  NPD (past) Authorized official

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

{
    "created_epoch": "1359590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359590400000",
    "number": "1669711321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1125",
            "city": "RAYMORE",
            "state": "MO",
            "postal_code": "640831125",
            "telephone_number": "816-331-3456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 S WASHINGTON ST",
            "city": "RAYMORE",
            "state": "MO",
            "postal_code": "640839729",
            "telephone_number": "816-331-3456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRENE AVES BROYLES DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-31",
        "last_updated": "2013-01-31",
        "status": "A",
        "authorized_official_last_name": "BROYLES",
        "authorized_official_first_name": "IRENE",
        "authorized_official_middle_name": "AVES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-331-3456",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison J Huebert, PLPC
• Bryan Robert Huff, OD
• Jacob Levi Hughart, LCSW
• Curtis Hyde, LCSW; MSW
• Jeffery Lynn Ingram, R.EEG/EPT, CNIM
• Terry L Janzen, MSWQ
• Erin Elizabeth Jewell Burks, DO
• Rachel Lyn Jewett, LCSW, MSW
• Breanna Johnson, LPC
• Nicole D Johnson, PLPC

• Dentist in Raymore, MO
• Providers in Raymore, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; 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.