Individual provider Active NPI

Sean L Bringhurst, DMD

  • Dentist
  • Gilbert, AZ
National Provider Identifier
1760040208
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D010576 Issued in AZ
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

Updated by the provider on Feb 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
D-5028OtherIDIDAHO 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

LicenseStateTypeSpecialty
D010576AZMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Lindsay Crossing Dental and Aesthetics Dentist CurrentSince Feb 4, 2024 Accepting new patients
Chandler Dental Partners LLC PastSince Feb 18, 2024 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.

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.

Verify at the official NPI Registry.