Anthem Oral Surgery & Implant Center

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

D5779 Issued in AZ

Legal business name

ANTHEM ORAL SURGERY & IMPLANT CENTER

Practice address

42104 N Venture Dr
Anthem, AZ 85086-3823

Phone

(480) 575-0844

NPI assigned

Jun 23, 2017

Last updated

Jun 27, 2017By the provider in NPPES

Organization subpart

Yes

Parent organization

ANTHEM ORAL SURGERY & IMPLANT CENTERAs reported in NPPES

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

Authorized official

Name

Dr. Brown Harris IIINPI 1154328599

Title

Surgeon

Phone

(480) 575-0844

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brown Harris III, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Cave Creek, AZ
  • NPI 1154328599
  NPD (past) Authorized official

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

{
    "created_epoch": "1498176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498521600000",
    "number": "1871013524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30012 N CAVE CREEK RD STE 103",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853315833",
            "telephone_number": "480-575-0844",
            "fax_number": "480-575-0845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42104 N VENTURE DR",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850863823",
            "telephone_number": "480-575-0844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHEM ORAL SURGERY & IMPLANT CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ANTHEM ORAL SURGERY & IMPLANT CENTER",
        "enumeration_date": "2017-06-23",
        "last_updated": "2017-06-27",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "BROWN",
        "authorized_official_title_or_position": "SURGEON",
        "authorized_official_telephone_number": "480-575-0844",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "AZ",
            "license": "D5779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthem Dentistry LLC
• Anthem Endo PLLC (Anthem Endodontics)
• Anthem Endodontics PLLC
• Anthem Eye Care PC (Better Vision)
• Anthem Eye Group PLLC
• Anthem Pain Management, LLC
• Anthem Physical Medicine LLC
• Anthem Total Health
• Anthem Treatment Center LLC
• Apr DME LLC

• Oral and Maxillofacial Surgery (Dentist) in Anthem, AZ
• Providers in Anthem, AZ by specialty
• Oral and Maxillofacial Surgery (Dentist) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2017; 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.