Kurt Jeffrey Brockman, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6700 Issued in NV

Practice address

6395 S McCarran Blvd
Suite B
Reno, NV 89509

Phone

(775) 823-9419

NPI assigned

Jan 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Callaway-Nelson Reno Smiles Dentistry, PC

  dba Reno Smiles Dentistry and Orthodontics

  • General Practice Dentistry
  • Reno, NV
  • NPI 1023453982
  NPD (past)

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438905600000",
    "number": "1295706026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 CATHERINE DR",
            "address_2": "PO BOX 3914",
            "city": "INCLINE VILLAGE",
            "state": "NV",
            "postal_code": "894503914",
            "telephone_number": "858-922-7928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6395 S MCCARRAN BLVD",
            "address_2": "SUITE B",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89509",
            "telephone_number": "775-823-9419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCKMAN",
        "first_name": "KURT",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2015-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "036137",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "6700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Whitfield Brock, D.O.
• Daylee Brock, BCBA, LBA, RBT
• Elika Brock, DOT
• Lauren Brockett
• Mary Brockhage
• Katy Brockway, LMFT, LCADC
• Mandy Marie Brodegard
• Brogan, Dopf, P.C. (Palliative Care Associates)
• Kelle L Brogan, MD
• Mackenzie Martha Brokaw

• General Practice Dentistry in Reno, NV
• Providers in Reno, 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 Aug 7, 2015; 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.