Individual provider Active NPI

Benjamin Brown, DMD, MSD

  • Endodontics
  • Reno, NV
National Provider Identifier
1316341613
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
S7-118C Issued in NV
Practice address
5420 Kietzke LN Ste 100
Reno, NV 89511-2063
Phone
(775) 825-5221
NPI assigned
Oct 15, 2014
Last updated
May 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 90437479922 UT
Dentist 122300000X 0442000373 VA
Endodontics 1223E0200X 39171 TX
Endodontics 1223E0200X S7-118C NV Primary

Addresses

Primary practice location

5420 Kietzke LN Ste 100
Reno, NV 89511-2063

Mailing address

5420 Kietzke LN Ste 100
Reno, NV 89511-2063
Phone (775) 825-5221

Other practice location 1

6655 W Sahara Ave Ste A106
Las Vegas, NV 89146-0843
Phone (702) 876-5800

Other practice location 2

7515 Quaker Ave Ste 300
Lubbock, TX 79424-5316
Phone (806) 853-7934

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

State licenses

LicenseStateTypeSpecialty
90437479922UTMDDentist
0442000373VAMDDentist
S7-118CNVMDEndodontist
39171TXMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Endo MTB PLLC Endodontics CurrentSince May 18, 2025 Accepting new patients
Dr. Hansen Las Vegas Endodontics PastSince Nov 1, 2022 Accepting new patients
D. Reeves & R. Iwasiuk, D.D.S., LTD Endodontics PastSince May 18, 2025 Accepting new patients

Locations

5420 Kietzke Ln
Ste 100
Reno, NV 89511
Phone (775) 825-5221

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1413331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1316341613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5420 KIETZKE LN STE 100",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112063",
            "telephone_number": "775-825-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5420 KIETZKE LN STE 100",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112063",
            "telephone_number": "775-825-5221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6655 W Sahara Ave Ste A106",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891460843",
            "country_code": "US",
            "telephone_number": "702-876-5800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7515 Quaker Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794245316",
            "country_code": "US",
            "telephone_number": "806-853-7934",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "DMD, MSD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-15",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "90437479922",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0442000373",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "39171",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NV",
            "license": "S7-118C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.