Individual provider Active NPI

Roy Garth Bryant, DMD

  • General Practice Dentistry
  • Chandler, AZ
National Provider Identifier
1982348074
Registry record updated May 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DO11329 Issued in AZ
Practice address
975 E Riggs Rd Ste 8
Chandler, AZ 85249-4260
Phone
(480) 895-3252
NPI assigned
Apr 25, 2022
Last updated
May 4, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DO11329 AZ Primary

Addresses

Primary practice location

975 E Riggs Rd Ste 8
Chandler, AZ 85249-4260

Mailing address

605 N Reseda Cir
Mesa, AZ 85205-6315
Phone (480) 489-7743

Other practice location 1

7227 N Dreamy Draw Dr Ste 4
Phoenix, AZ 85020-5278
Phone (602) 861-1245

Other practice location 2

5259 W Indian School Rd Ste 110
Phoenix, AZ 85031-2651
Phone (623) 233-0959

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220617000804 AZ Order and Referring Only - DentistPractitioner - Dentist 2365821527

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DO11329AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Robert J. Price DDS, P.C. General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1650844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651622400000",
    "number": "1982348074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 N RESEDA CIR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852056315",
            "telephone_number": "480-489-7743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 E RIGGS RD STE 8",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852494260",
            "telephone_number": "480-895-3252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7227 N Dreamy Draw Dr Ste 4",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850205278",
            "country_code": "US",
            "telephone_number": "602-861-1245",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5259 W Indian School Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850312651",
            "country_code": "US",
            "telephone_number": "623-233-0959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "ROY",
        "middle_name": "GARTH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-25",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "DO11329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.