MARY J BRANNOCK DDS
NPI 1992874689
Dentist in Scottsdale, AZ

Active since November 07, 2006Opted out of Medicare · through Sep 22, 2027
13430 N SCOTTSDALE RD, SUITE 100, SCOTTSDALE, AZ 85254(480) 922-0600(480) 922-0981 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary J Brannock Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY J BRANNOCK DDS (NPI 1992874689) is an individual dentist in Scottsdale, Arizona, licensed in Arizona (4818) and active in the NPI registry since November 2006. She has opted out of Medicare through September 22, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1992874689
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameMARY J BRANNOCKCredential: DDS
Location Address13430 N SCOTTSDALE RD, SUITE 100Scottsdale, AZ 85254-4059
Mailing Address13430 N Scottsdale Rd, Suite 100Scottsdale, AZ 85254-4059 · (480) 922-0600 · Fax (480) 922-0981
Fax(480) 922-0981
Sole ProprietorNo
Enumeration DateNovember 7, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1992874689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in AZ · 4818
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
13430 N SCOTTSDALE RD, Scottsdale, AZ 85254

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Mary J Brannock Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 22, 2015 through September 22, 2027.

Opt-Out Effective DateSeptember 22, 2015
Opt-Out In Effect ThroughSeptember 22, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85254 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
13430 N SCOTTSDALE RD, SUITE 100
SCOTTSDALE, AZ 85254
Social Worker (Clinical)
13430 N SCOTTSDALE RD
SCOTTSDALE, AZ 85254
Chiropractor
13430 N SCOTTSDALE RD, SUITE 102
SCOTTSDALE, AZ 85254
Naturopath
13430 N SCOTTSDALE RD
SCOTTSDALE, AZ 85254
Clinic/Center (Dental)
13430 N SCOTTSDALE RD, #100
SCOTTSDALE, AZ 85254
Psychologist
13430 N SCOTTSDALE RD, STE 102
SCOTTSDALE, AZ 85254
Social Worker (Clinical)
13430 N SCOTTSDALE RD, STE 214
SCOTTSDALE, AZ 85254

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Brannock's NPI number?

The NPI number for Mary Brannock is 1992874689. It was assigned to this individual provider in the NPPES registry on November 7, 2006.

Where is Mary Brannock located?

Mary Brannock practices at 13430 N Scottsdale Rd Suite 100, Scottsdale, AZ 85254. The listed phone number is (480) 922-0600.

What is Mary Brannock's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Mary Brannock enrolled in Medicare?

No. Mary Brannock has opted out of Medicare through September 22, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Mary Brannock was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.