Tina Marie Brandon Abbatangelo, D.D.S/

Primary specialty

DentistTaxonomy code 122300000X

License

3322 Issued in NV

Practice address

7389 Silent Water Way
Las Vegas, NV 89149-1701

Phone

(702) 523-4263

NPI assigned

Jul 11, 2006

Last updated

Mar 14, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552521600000",
    "number": "1154356806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4505 S MARYLAND PKWY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891549900",
            "telephone_number": "702-523-4263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7389 SILENT WATER WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891491701",
            "telephone_number": "702-523-4263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDON ABBATANGELO",
        "first_name": "TINA",
        "middle_name": "MARIE",
        "credential": "D.D.S/",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2019-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "3322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Brandel
• Matthew Cole Brandenburg, OTD
• Irma Eusebia Brandl
• Patrick Joseph Brandner, M.D.
• Larissa Crystal Brandom
• Brandon Jackson PT (Jackson Physical Therapy and Sports Medicine)
• Brandon Jackson, P T (Jackson Physical Therapy)
• Amaiha Burns Brandon
• Brandy Brandon
• Brittney Brandon

• Dentist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Dentist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2019; 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.