Individual provider Active NPI

Donovan Sonny Browning, D.D.S.

  • Dentist
  • Las Vegas, NV
National Provider Identifier
1366566960
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7368 Issued in NV
Practice address
4954 Boulder Hwy
Las Vegas, NV 89121-3016
Phone
(702) 847-6273
NPI assigned
Mar 19, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 7368 NV Primary

Addresses

Primary practice location

4954 Boulder Hwy
Las Vegas, NV 89121-3016

Mailing address

4954 Boulder Hwy
Las Vegas, NV 89121-3016
Phone (702) 847-6273

Other practice location 1

1144 E Fort Union Blvd
Midvale, UT 84047-1804
Phone (801) 566-3118

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161003001932 UT Order and Referring Only - DentistPractitioner - Dentist 7113214396

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7368NVMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Boulder Crossings Dental Partners PLLC General Practice CurrentSince Jun 6, 2021 Accepting new patients
Brookhollow Dental Partners PLLC Current Accepting new patients
Midvale Modern Dentistry, LLP General Practice Past Accepting new patients

Locations

4954 Boulder Hwy
Las Vegas, NV 89121
Phone (702) 847-6273

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1366566960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4954 BOULDER HWY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891213016",
            "telephone_number": "702-847-6273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4954 BOULDER HWY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891213016",
            "telephone_number": "702-847-6273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1144 E Fort Union Blvd",
            "address_purpose": "LOCATION",
            "city": "Midvale",
            "state": "UT",
            "postal_code": "840471804",
            "country_code": "US",
            "telephone_number": "801-566-3118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWNING",
        "first_name": "DONOVAN",
        "middle_name": "SONNY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2021-06-01",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "7368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.