Brent Daley

Primary specialty

Nursing Home AdministratorTaxonomy code 376G00000X

Practice address

1274 W Lantana Dr
Chandler, AZ 85248-3720

Phone

(928) 432-0662

NPI assigned

Dec 14, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Victory Hospice, LLC.

  • Community Based Hospice Care Agency
  • Mesa, AZ
  • NPI 1427666999
  NPD Authorized official

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

{
    "created_epoch": "1607904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607904000000",
    "number": "1992391973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E PAYTON ST",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851405809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1274 W LANTANA DR",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852483720",
            "telephone_number": "928-432-0662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALEY",
        "first_name": "BRENT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-14",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376G00000X",
            "taxonomy_group": "",
            "desc": "Nursing Home Administrator",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "4805900993",
            "affiliation": "N",
            "endpointDescription": "fax machine",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1274 W Lantana Dr",
            "city": "Chandler",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852483720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Pratik Kamal Dalal
• Dale Psychology PLLC
• Megan Amber Dale, PSY.D.
• Dalena Watson PLLC
• Maryjoy Dalere, HAD
• David Scott Daley, DMD PC
• Hilary Daley, FNP-BC
• Andrew Dalley, MD
• Eric Dallman, DC
• Amy M Daly, RN

• Nursing Home Administrator in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Nursing Home Administrator in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2020; 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.