NPIMap

Organization Active NPI

Andrew M. Noble, DDS,PLLC

  • General Practice Dentistry
  • Sierra Vista, AZ
National Provider Identifier
1699330712
Registry record updated Aug 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ANDREW M. NOBLE, DDS,PLLC
Practice address
3511 Canyon de Flores Ste B
Sierra Vista, AZ 85650-5379
Phone
(520) 378-6684
Fax
(520) 378-3705
NPI assigned
May 3, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2019

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

Authorized official

Name
Dr. Andrew Max NobleNPI 1821386756
Title
Owner
Phone
(520) 378-6684

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3511 Canyon de Flores Ste B
Sierra Vista, AZ 85650-5379

Mailing address

3511 Canyon de Flores Ste B
Sierra Vista, AZ 85650-5379
Phone (520) 378-6684

Other names 1

  • Brace Family Dentistry Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL info@bracedentistry.com Direct

National Provider Directory

National Provider Directory

Locations

3511 Canyon de Flores
Ste B
Sierra Vista, AZ 85650
Phone (520) 378-6684

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1556841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566864000000",
    "number": "1699330712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3511 CANYON DE FLORES STE B",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856505379",
            "telephone_number": "520-378-6684",
            "fax_number": "520-378-3705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3511 CANYON DE FLORES STE B",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856505379",
            "telephone_number": "520-378-6684",
            "fax_number": "520-378-3705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW M. NOBLE, DDS,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-03",
        "last_updated": "2019-08-27",
        "status": "A",
        "authorized_official_last_name": "NOBLE",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "MAX",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-378-6684",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@bracedentistry.com",
            "affiliation": "N",
            "endpointDescription": "office email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3511 Canyon De Flores Ste B",
            "city": "Sierra Vista",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "856505379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Brace Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brace Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sierra Vista, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; 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.