Brightside Dental, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BRIGHTSIDE DENTAL, LLC

Practice address

4731 S Cochise Dr Ste 110
Independence, MO 64055-6943

Phone

(816) 704-0818

NPI assigned

Aug 18, 2021

Organization subpart

No

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

Authorized official

Name

Brandy Lopez

Title

Vice President of Operations

Phone

(970) 596-8085

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Benjamin Wilson, DDS

  • General Practice Dentistry
  • Independence, MO
  • NPI 1790905800
  NPD

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

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759363200000",
    "number": "1316613607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4731 S COCHISE DR STE 110",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640556943",
            "telephone_number": "816-704-0816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4731 S COCHISE DR STE 110",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640556943",
            "telephone_number": "816-704-0818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTSIDE DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-18",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "BRANDY",
        "authorized_official_title_or_position": "VICE PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "970-596-8085"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darian Michelle Brewen-Barnett, PTA
• Brian a Fidler
• Corrine Bricher, PA
• Bridgeway Clinics LLC
• Brighton Hospice Missouri , LLC
• James R Brittain, BSPHARM
• Cynthia Brizendine, PLPC
• Deborah Kay Brizendine, CCC-SLP
• Valencia Broadus
• Arthur L Brock, MD

• All providers in Independence, MO
• Dental Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.