Conner Lee Brasher, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

7561 Issued in OK

Practice address

3901 E Covell Rd
Edmond, OK 73034-6909

Phone

(405) 359-0808

NPI assigned

May 28, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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": "1653696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653696000000",
    "number": "1295474245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19409 VISTA AVE",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730123528",
            "telephone_number": "405-990-5678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 E COVELL RD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730346909",
            "telephone_number": "405-359-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRASHER",
        "first_name": "CONNER",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-28",
        "last_updated": "2022-05-28",
        "certification_date": "2022-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "7561",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "7561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@legacydentalok.com",
            "affiliation": "N",
            "address_1": "3901 E Covell Rd",
            "city": "Edmond",
            "state": "OK",
            "country_code": "US",
            "postal_code": "730346909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rachel Branch, DPT
• Stephen Brand
• Mariano Brandao, MD
• Brant T Koenig PLLC
• Katherine Ann Brashears, APRN-NP
• Greg Brasher, DDS
• Joshua V Brasher, D.D.S.
• Christopher L Bratcher
• Alexandria Bray
• Tamra Dichelle Bray

• Dentist in Edmond, OK
• Providers in Edmond, OK by specialty
• Dentist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2022; 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.