J Brent Sanders DDS PC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

3208 Issued in AZ

Legal business name

J BRENT SANDERS DDS PC

Practice address

7505 W Deer Valley Rd Ste 130
Peoria, AZ 85382-2107

Phone

(623) 572-7505

Fax

(623) 572-7602

NPI assigned

Jul 29, 2015

Organization subpart

No

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

Authorized official

Name

J Brent Sanders

Title

Doctor

Phone

(623) 572-7505

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.

• Phillip Garrett Jr., D.D.S.

  • Periodontics
  • Peoria, AZ
  • NPI 1356712087
  NPD (past)

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438128000000",
    "number": "1780069997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7505 W DEER VALLEY RD STE 130",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853822107",
            "telephone_number": "623-572-7505",
            "fax_number": "623-572-7602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7505 W DEER VALLEY RD STE 130",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853822107",
            "telephone_number": "623-572-7505",
            "fax_number": "623-572-7602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J BRENT SANDERS DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-29",
        "last_updated": "2015-07-29",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "J BRENT",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "623-572-7505"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "AZ",
            "license": "3208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ishan N VKC, Inc.
• Peter M Isleta, RPH
• Cindy Shirley Isnec
• Chioma N Iweha, M.D.
• Rahul Seshadri Iyengar, MD
• J L Judge Chiropractic Center West PC
• J. Barton Ripperger DPM PC
• Jack Hawks PC
• Fay A Jackson
• Jerome Alexander-Terrell Jackson

• Periodontics in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Periodontics in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; 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.