Organization Active NPI

Affordable Dentures & Implants - Avondale II, P.C.

  • General Practice Dentistry
  • Avondale, AZ
National Provider Identifier
1780368233
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
AFFORDABLE DENTURES & IMPLANTS - AVONDALE II, P.C.
Practice address
1619 N Dysart Rd Ste 105
Avondale, AZ 85392-1200
Phone
(623) 688-5596
NPI assigned
Jun 14, 2023
Last updated
Nov 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Authorized official

Name
Sibera Brannon, DDS
Title
Owner
Phone
(623) 688-5596

Specialties & licenses 1

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

Addresses

Primary practice location

1619 N Dysart Rd Ste 105
Avondale, AZ 85392-1200

Mailing address

1619 N Dysart Rd Ste 105
Avondale, AZ 85392-1200
Phone (623) 688-5596

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698969600000",
    "number": "1780368233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 N DYSART RD STE 105",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853921200",
            "telephone_number": "623-688-5596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 N DYSART RD STE 105",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853921200",
            "telephone_number": "623-688-5596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE DENTURES & IMPLANTS - AVONDALE II, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A",
        "authorized_official_last_name": "BRANNON",
        "authorized_official_first_name": "SIBERA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-688-5596",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avondale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; 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.