Organization Active NPI

Okuda Orthodontics, PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Henderson, NV
National Provider Identifier
1083373245
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
OKUDA ORTHODONTICS, PLLC
Practice address
1701 N Green Valley Pkwy Ste 1
Henderson, NV 89074-5886
Phone
(702) 737-5500
Fax
(702) 737-5565
NPI assigned
Dec 14, 2021
Last updated
Dec 14, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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

Authorized official

Name
Brady C Okuda, DMDNPI 1427398478
Title
Owner/Orthodontist
Phone
(702) 737-5500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X Primary

Addresses

Primary practice location

1701 N Green Valley Pkwy Ste 1
Henderson, NV 89074-5886

Mailing address

1701 N Green Valley Pkwy Ste 1
Henderson, NV 89074-5886
Phone (702) 737-5500

National Provider Directory

National Provider Directory

Locations

1701 N Green Valley Pkwy
Ste 1
Henderson, NV 89074
Phone (702) 737-5500

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1639440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639440000000",
    "number": "1083373245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 N GREEN VALLEY PKWY STE 1",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890745886",
            "telephone_number": "702-737-5500",
            "fax_number": "702-737-5565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 N GREEN VALLEY PKWY STE 1",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890745886",
            "telephone_number": "702-737-5500",
            "fax_number": "702-737-5565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKUDA ORTHODONTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-14",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A",
        "authorized_official_last_name": "OKUDA",
        "authorized_official_first_name": "BRADY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/ORTHODONTIST",
        "authorized_official_telephone_number": "702-737-5500",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; 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.