Steven Branberg, D.D.S.

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

27565 Issued in TX

Practice address

5301 Colleyville Blvd
110
Colleyville, TX 76034-5870

Phone

(817) 498-3331

Fax

(817) 479-0072

NPI assigned

Feb 6, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1328486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482796800000",
    "number": "1346512308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3324 MCKINNEY AVE",
            "address_2": "614",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752042364",
            "telephone_number": "310-892-0297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 COLLEYVILLE BLVD",
            "address_2": "110",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760345870",
            "telephone_number": "817-498-3331",
            "fax_number": "817-479-0072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANBERG",
        "first_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-06",
        "last_updated": "2016-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "TX",
            "license": "27565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2016; 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.