WEST VALLEY BRACES (NPI# 1114565744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114565744 |
| Entity Type | Organization |
| Organization Name | WEST VALLEY BRACES |
| Practice Address |
14100 N 83rd Ave Ste 280 Peoria AZ 85381-5660 |
| Practice Telephone | 6239359873 |
| Mailing Telephone | 6239359873 |
| Enumeration Date | 2019-12-13 |
| Last Update Date | 2019-12-13 |
| Authorized Official Name | TERRY BARNES (DIRECTOR OF OPERSATIONS) |
| Authorized Official Telephone | 6239359873 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers |
| Other Name | Type Code |
|---|---|
| West Valley Pediatric Dentistry & Orthodontics | Doing Business As Name - Organization |
| Street Address |
14100 N 83RD AVE STE 280 |
| City | PEORIA |
| State | AZ |
| Zip Code | 85381-5660 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144660358 | Thanh Hoang Phan | Dentist | 14100 N 83rd Ave Ste 280, Peoria, AZ 85381-5660 | 2013-07-02 |
| 1689025256 | Arizona Dental Anesthesia Pllc | Dentist | 14100 N 83rd Ave Ste 280, Peoria, AZ 85381-5660 | 2016-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932712122 | Vicki L Grenier | Registered Nurse | 7558 W. Thunderbird Rd. Ste 1-507, Peoria, AZ 85381 | 2020-08-26 |
| 1568934107 | Earthwalk Wellness Group, LLC | Social Worker | 14050 North 83rd Avenue, Suite 290, Peoria, AZ 85381 | 2018-12-20 |
| 1316412059 | John & Biljana Feeley Dba J & B Assisted Living IIi Inc | Community Based Residential Treatment Facility, Mental Illness | 7331 W Sweetwater Avenue, Peoria, AZ 85381 | 2018-10-09 |
| 1467958611 | Arizona Community Pharmacy | Pharmacy | 14100 N 83rd Ave Ste 160, Peoria, AZ 85381 | 2018-04-04 |
| 1083112106 | Marissa Lynn Desjardins | Physical Therapist | 8240 W. Cactus Rd. Oakeson Physical Therapy, Peoria, AZ 85381 | 2018-01-23 |
| 1235651399 | Power Back Batteries LLC | Durable Medical Equipment & Medical Supplies | 9054 West Lisbon Ave, Peoria, AZ 85381 | 2017-07-11 |
| 1457897027 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 7524 W. Alexandria Way, Peoria, AZ 85381 | 2017-01-06 |
| 1386023448 | Scott Boone | Registered Nurse | 7715 W Watson Ln, Peoria, AZ 85381 | 2015-05-22 |
| 1881084838 | Pinnacle Women's Center LLC | Obstetrics & Gynecology | 15396 N 83rd Ave Ste F100, Peoria, AZ 85381 | 2015-01-29 |
| 1245637081 | Kathi Locke | Counselor | 13460 N. 94th Drive, Suite J2, Peoria, AZ 85381 | 2014-11-21 |
| Find all providers in zip 85381 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790310431 | Gregory D Long II | Dentist | 7131 N Knoxville Ave Ste B, Peoria, IL 61614-2088 | 2020-03-03 |
| 1568875920 | Schuler & Arkwell Orthodontic Partnership | Dentist | 2425 Cornerstone Ct. Ste. A, Peoria, IL 61614 | 2014-06-03 |
| 1780002964 | Elliot Saperstein | Dentist | 8248 W Deer Valley Rd Ste A-110, Peoria, AZ 85382-2198 | 2014-04-03 |
| 1659520617 | Devin L Croft | Dentist | 9772 W Yearling Rd, Ste A1600, Peoria, AZ 85383-1380 | 2008-09-15 |
| 1073733275 | Patrick Micheal Cusack | Dentist | 1324 W. Northmoor Rd., Peoria, IL 61614 | 2007-04-27 |
| 1851510648 | Orthodontic Centers of Az | Dentist | 7545 W Bell Rd, #106, Peoria, AZ 85382-3832 | 2007-04-24 |
| 1306988092 | Midwest Orthodontic Associates | Dentist | 5006 N University St, Peoria, IL 61614-4715 | 2007-02-12 |
| 1801954193 | Herbert Ivan Cueto | Dentist | 8392 W Thunderbird Rd, Peoria, AZ 85381-5635 | 2006-12-05 |
| 1851467393 | Kristen Leigh Benes | Dentist | 15188 N 75th Ave, Suite 280, Peoria, AZ 85381-4723 | 2006-11-27 |
| 1265511703 | Ousama El-hillal | Dentist | 8272 W Lake Pleasant Pkwy, Suite #209, Peoria, AZ 85382-7431 | 2006-11-03 |
| Find all providers in PEORIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.