Bradlely J. Nelson D.D.S. LTD

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

690 Issued in NV

Legal business name

BRADLELY J. NELSON D.D.S. LTD

Practice address

860 E Sahara Ave
#2
Las Vegas, NV 89104-3032

Phone

(702) 734-8376

Fax

(702) 734-8520

NPI assigned

May 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Bradley J Nelson, D.D.S.

Title

Owner

Phone

(702) 734-8376

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003023904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 E SAHARA AVE",
            "address_2": "#2",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891043032",
            "telephone_number": "702-734-8376",
            "fax_number": "702-734-8520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 E SAHARA AVE",
            "address_2": "#2",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891043032",
            "telephone_number": "702-734-8376",
            "fax_number": "702-734-8520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLELY J. NELSON D.D.S. LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-734-8376",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "NV",
            "license": "690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rochelle Ann Bradford
• Shanice Bradford
• Tony Bradford
• Twanda Bradford
• Vincent Eric Bradford
• Charlotte Anne Bradley-Cunningham
• Ana Alycia Bradley, LMFT-INTERN
• Carmynn Kayleen Bradley, CPC INTERN
• Charmaine Bradley
• Gerald L Bradley

• All providers in Las Vegas, NV
• Endodontics in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.