Organization Active NPI

Brian Midei DDS PLLC

  • Dental Clinic/Center
  • Sonora, TX
National Provider Identifier
1962947739
Registry record updated Jan 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
32492 Issued in TX
Legal business name
BRIAN MIDEI DDS PLLC
Practice address
901 S Crockett Ave
Sonora, TX 76950-7837
Phone
(520) 730-9232
NPI assigned
Jan 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2017

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

Authorized official

Name
Dr. Brian Midei, DDSNPI 1508875923
Title
President
Phone
(520) 730-9232

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 32492 TX Primary

Addresses

Primary practice location

901 S Crockett Ave
Sonora, TX 76950-7837

Mailing address

901 S Crockett Ave
Sonora, TX 76950-7837
Phone (520) 730-9232

Other names 1

  • Sonora Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

901 S Crockett Ave
Sonora, TX 76950
Phone (325) 387-2021

Practitioners & affiliated clinicians

Practitioners 1

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": "1483401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483401600000",
    "number": "1962947739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 S CROCKETT AVE",
            "city": "SONORA",
            "state": "TX",
            "postal_code": "769507837",
            "telephone_number": "520-730-9232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 S CROCKETT AVE",
            "city": "SONORA",
            "state": "TX",
            "postal_code": "769507837",
            "telephone_number": "520-730-9232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN MIDEI DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-03",
        "last_updated": "2017-01-03",
        "status": "A",
        "authorized_official_last_name": "MIDEI",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-730-9232",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "32492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sonora Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sonora, TX

Sources for this page

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