Active NPI
Sean L Bringhurst, DMD
- Dentist
- Gilbert, AZ
National Provider Identifier
1760040208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D010576
- Practice address
- 5505 S. Lindsay Rd. Ste. 106
Gilbert, AZ 83201-4990 - Phone
- (480) 670-7106
- NPI assigned
- May 30, 2019
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | D010576 | AZ | Primary |
Addresses
Primary practice location
5505 S. Lindsay Rd. Ste. 106
Gilbert, AZ 83201-4990
Mailing address
3909 E Blue Spruce LN
Gilbert, AZ 85298-0433
Phone (480) 670-7106
Other practice location 1
459 N Val Vista Dr
Mesa, AZ 85213-7001
Phone (480) 605-2881
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D-5028 | Other | ID | IDAHO STATE BOARD OF DENTISTRY |
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 |
|---|---|---|---|
| D010576 | AZ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lindsay Crossing Dental and Aesthetics | Dentist | Current | Accepting new patients |
| Chandler Dental Partners LLC | Past | Accepting new patients | |
| Bringhurst Family Dentistry, PLLC | Past | Accepting new patients |
Locations
5505 S Lindsay Rd
Ste 106
Gilbert, AZ 85298
Phone (480) 670-7106
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Gilbert, AZ
- NPI 1255194171
-
- General Practice Dentistry
- Chandler, AZ
- NPI 1780449009
-
- Dental Clinic/Center
- Pocatello, ID
- NPI 1841345261
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706832000000",
"number": "1760040208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3909 E BLUE SPRUCE LN",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852980433",
"telephone_number": "480-670-7106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5505 S. LINDSAY RD. STE. 106",
"city": "GILBERT",
"state": "AZ",
"postal_code": "832014990",
"telephone_number": "480-670-7106"
}
],
"practiceLocations": [
{
"address_1": "459 N Val Vista Dr",
"address_purpose": "LOCATION",
"city": "Mesa",
"state": "AZ",
"postal_code": "852137001",
"country_code": "US",
"telephone_number": "480-605-2881",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRINGHURST",
"first_name": "SEAN",
"middle_name": "L",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-30",
"last_updated": "2024-02-02",
"certification_date": "2024-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "D010576",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IDAHO STATE BOARD OF DENTISTRY",
"identifier": "D-5028",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.