BRIVADENTAL LLC (NPI# 1043645765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043645765 |
| Entity Type | Organization |
| Organization Name | BRIVADENTAL LLC |
| Other Organization Name | AZ COSMETIC & FAMILY DENTISTRY |
| Practice Address |
5757 W Thunderbird Rd W300 Glendale AZ 85306-4641 |
| Practice Telephone | 6024391101 |
| Practice Fax Number | 6027891653 |
| Mailing Telephone | 6024391101 |
| Mailing Fax Number | 6027891653 |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2020-09-14 |
| Authorized Official Name | DR. VASUDHA NARRA (OWNER) |
| Authorized Official Telephone | 6024391101 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | D07658 | AZ | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| AZ Cosmetic & Family Dentistry | Doing Business As Name - Organization |
| Street Address |
5757 W THUNDERBIRD RD W300 |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85306-4641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841299096 | William R Friese | Surgery | 5757 W Thunderbird Rd, Suite E265, Glendale, AZ 85306-4641 | 2005-07-19 |
| 1225526536 | Daniel Anthony Bos | Audiologist | 5757 W Thunderbird Rd, Glendale, AZ 85306-4641 | 2018-04-23 |
| 1053824490 | Sabrina Nicole Wade | Occupational Therapist | 5757 W Thunderbird Rd, Glendale, AZ 85306-4641 | 2017-11-07 |
| 1699154179 | Dht Hand Therapy | Occupational Therapist | 5757 W Thunderbird Rd, Suite E-465, Glendale, AZ 85306-4641 | 2015-05-29 |
| 1548540024 | Solomon Pediatric Dental Pllc | Dentist | 5757 W Thunderbird Rd, E-451, Glendale, AZ 85306-4641 | 2011-08-28 |
| 1912236340 | Lucia Jane Lumley | Physician Assistant | 5757 W Thunderbird Rd, E255, Glendale, AZ 85306-4641 | 2009-12-14 |
| 1891930061 | Naveed Vehra Md Pllc | Psychiatry & Neurology | 5757 W Thunderbird Rd, Ste E-151, Glendale, AZ 85306-4685 | 2008-12-02 |
| 1942477492 | Diane Carol Shultz | Audiologist | 5757 W Thunderbird Rd, Ste W301, Glendale, AZ 85306 | 2008-05-14 |
| 1255514907 | Shyamala, P.C. | Psychiatry & Neurology | 5757 W Thunderbird Rd, Suite E 151, Glendale, AZ 85306-4641 | 2007-12-17 |
| 1306029566 | Mark Winograd, M.d., P.C. | Psychiatry & Neurology | 5757 W Thunderbird Rd, Suite E151, Glendale, AZ 85306-4685 | 2007-12-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548784648 | Michelle Weissgerber | Registered Nurse | 6640 W Maui Ln, Glendale, AZ 85306 | 2017-07-31 |
| 1427502947 | Az Interact LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6055 West Caribe Lane, Glendale, AZ 85306 | 2016-08-12 |
| 1649667635 | Richard Moreno Jr. | Physical Therapy Assistant | 6509 W Acapulco Ln, Glendale, AZ 85306 | 2015-04-17 |
| 1568863819 | Alternative Living for You | Assisted Living Facility | 5328 W. Tierra Buena Ln., Glendale, AZ 85306 | 2014-09-05 |
| 1649614561 | Matthew Brownell | Internal Medicine | 5555 W, Thunderbird, Banner Thunderbird Medical Center, Glendale, AZ 85306 | 2013-04-22 |
| 1366736266 | Miles Christenson | Speech-Language Pathologist | 14627 N 60th Ave, Glendale, AZ 85306 | 2011-06-08 |
| 1285928721 | Nathalie Tania Petein-alamshaw | Internal Medicine | 5555 W Thunderbird Road, Glendale, AZ 85306 | 2011-06-01 |
| 1134351869 | William J. Duff | Counselor | 5701 W. Talavi Boulevard, Suite 180, Phoenix, AZ 85306 | 2009-08-13 |
| 1538321369 | Cardiovascular Consultants, Ltd | Non-Pharmacy Dispensing Site | 5422 W. Thunderbird, Suite 8, Glendale, AZ 85306 | 2008-07-02 |
| 1316109143 | Cardiovascular Consultants, Ltd | Non-Pharmacy Dispensing Site | 5620 W. Thunderbird, Suite D3, Glendale, AZ 85306 | 2008-07-02 |
| Find all providers in zip 85306 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972102572 | Inspire Wellness and Pelvic Health | Clinic/Center | 5940 W Union Hills Dr Ste D280, Glendale, AZ 85308 | 2020-10-23 |
| 1427618750 | Chiron Trine | Clinic/Center | 1915 Broadview Dr, Glendale, CA 91208-1201 | 2019-06-18 |
| 1487131603 | Joseph Mazzei Integrative Medicine Pllc | Clinic/Center | 18185 N 83rd Ave Ste 209, Glendale, AZ 85308-0519 | 2018-07-20 |
| 1528557352 | Central Medical Business Management | Clinic/Center | 1141 N Brand Blvd Ste 404, Glendale, CA 91202-2973 | 2018-05-07 |
| 1912432873 | Pro Sleep Testing | Clinic/Center | 16222 N 59th Ave Ste D170, Glendale, AZ 85306-1708 | 2017-04-27 |
| 1649638263 | Wellness Works | Clinic/Center | 540 W. Broadway, Glendale, CA 91204-1120 | 2016-02-10 |
| 1104214113 | Kasra Navabi Md | Clinic/Center | 3217 N Verdugo Rd, #2, Glendale, CA 91208-1672 | 2014-12-26 |
| 1932490422 | John F Madden Md PC | Clinic/Center | 10040 N 43rd Ave, 2b, Glendale, AZ 85302-2770 | 2011-05-02 |
| 1124291091 | South Coast Medical & Therapy, Inc. | Clinic/Center | 138 N Brand Blvd Ste 200, Glendale, CA 91203-4617 | 2008-04-10 |
| 1467653451 | Boghossian & Martikian Chiropractic Inc | Clinic/Center | 435 Arden Ave Ste 120, Glendale, CA 91203-4028 | 2007-05-29 |
| Find all providers in GLENDALE | ||||
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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.