NPIMap

Organization Active NPI

Brett a Dameron DDS Inc

  • General Practice Dentistry
  • Phoenix, AZ
National Provider Identifier
1881140531
Registry record updated Aug 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4800 Issued in AZ
Legal business name
BRETT A DAMERON DDS INC
Practice address
12320 N 32ND St
Suite #1
Phoenix, AZ 85032-7154
Phone
(602) 992-1384
Fax
(602) 992-6104
NPI assigned
Aug 31, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2016

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

Authorized official

Name
Brett A Dameron, DDS
Title
Owner/Dentist
Phone
(602) 992-1384

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 4800 AZ Primary

Addresses

Primary practice location

12320 N 32ND St
Suite #1
Phoenix, AZ 85032-7154

Mailing address

12320 N. 32ND St
#1
Phoenix, AZ 85032
Phone (602) 992-1384

National Provider Directory

National Provider Directory

Locations

12320 N 32nd St
Ste 1
Phoenix, AZ 85032
Phone (602) 992-1384

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472601600000",
    "number": "1881140531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12320 N. 32ND ST",
            "address_2": "#1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85032",
            "telephone_number": "602-992-1384",
            "fax_number": "602-992-6104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12320 N 32ND ST",
            "address_2": "SUITE #1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850327154",
            "telephone_number": "602-992-1384",
            "fax_number": "602-992-6104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRETT A DAMERON DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-31",
        "last_updated": "2016-08-31",
        "status": "A",
        "authorized_official_last_name": "DAMERON",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "602-992-1384",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "4800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; 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.