Brian G Sanford, DDS., LTD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BRIAN G SANFORD, DDS., LTD

Practice address

2551 N Green Valley Pkwy Ste C301
Henderson, NV 89014-0272

Phone

(702) 451-8181

Fax

(702) 451-1766

NPI assigned

Oct 4, 2023

Organization subpart

No

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

Authorized official

Name

Jenny Garcia-Rocha

Title

Credentialing Team Lead

Phone

(972) 869-3789

Specialties & licenses 1

Addresses

Other names 1

• Green Valley Smile Care Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian G Sanford, DDS

  • General Practice Dentistry
  • Henderson, NV
  • NPI 1093881765
  NPD (past)

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

{
    "created_epoch": "1696377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1073393245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2551 N GREEN VALLEY PKWY STE C301",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890140272",
            "telephone_number": "702-451-8181",
            "fax_number": "702-451-1766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2551 N GREEN VALLEY PKWY STE C301",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890140272",
            "telephone_number": "702-451-8181",
            "fax_number": "702-451-1766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN G SANFORD, DDS., LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-04",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A",
        "authorized_official_last_name": "GARCIA-ROCHA",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "CREDENTIALING TEAM LEAD",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Green Valley Smile Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hisani Almaz Brewer
• Natalie Brewer
• Nicole Marie Brewer, CPC, LCADC
• Amy Brewster, PT
• Kaylee Brewster
• Brian Jonathan Lipman MD PC
• Brian Pierson M.D. PLLC
• Kanyiah C Brice
• Ariahna Raelein Bridges
• Jenise Bridges

• General Practice Dentistry in Henderson, NV
• Providers in Henderson, NV by specialty
• General Practice Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; 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.