Individual provider Active NPI

Brandon Nelson

  • General Practice Dentistry
  • Omaha, NE
National Provider Identifier
1245028174
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Practice address
260 Regency Parkway Dr Ste 104
Omaha, NE 68114-3733
Phone
(402) 399-0900
NPI assigned
Apr 29, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0 NE Primary

Addresses

Primary practice location

260 Regency Parkway Dr Ste 104
Omaha, NE 68114-3733

Mailing address

21762 Poppleton Ave
Elkhorn, NE 68022-2223
Phone (402) 763-7576

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Today'S Dental Regency, LLC General Practice CurrentSince May 4, 2025 Accepting new patients
Kenneth a Spanel DDS PC General Practice PastSince May 4, 2025 Accepting new patients

Locations

260 Regency Parkway Dr
Ste 104
Omaha, NE 68114
Phone (402) 399-0900

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1745884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1245028174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21762 POPPLETON AVE",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680222223",
            "telephone_number": "402-763-7576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 REGENCY PARKWAY DR STE 104",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143733",
            "telephone_number": "402-399-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "BRANDON",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-29",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; 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.