Active NPI
Benjamin Brown, DMD, MSD
- Endodontics
- Reno, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- S7-118C
- Practice address
- 5420 Kietzke LN Ste 100
Reno, NV 89511-2063 - Phone
- (775) 825-5221
- NPI assigned
- Oct 15, 2014
- Last updated
- May 13, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 90437479922 | UT | MD | Dentist |
| 0442000373 | VA | MD | Dentist |
| S7-118C | NV | MD | Endodontist |
| 39171 | TX | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endo MTB PLLC | Endodontics | Current | Accepting new patients |
| Dr. Hansen Las Vegas Endodontics | Past | Accepting new patients | |
| D. Reeves & R. Iwasiuk, D.D.S., LTD | Endodontics | Past | 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.
-
- Endodontics
- Reno, NV
- NPI 1952520884
-
dba Las Vegas Endodontics
- Dental Clinic/Center
- Las Vegas, NV
- NPI 1912358342
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.