NPIMap

Organization Active NPI

Joshua Branco DMD a Professional Corporation

Doing business as Sage Dental Care

  • General Practice Dentistry
  • Reno, NV
National Provider Identifier
1417356452
Registry record updated Aug 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5955 Issued in NV
Legal business name
JOSHUA BRANCO DMD A PROFESSIONAL CORPORATION
Doing business as
Sage Dental Care
Practice address
1080 N Hills Blvd # 150
Reno, NV 89506-6744
Phone
(775) 843-2297
NPI assigned
Aug 15, 2014
Last updated
Aug 15, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2014

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

Authorized official

Name
Joshua Branco, DMDNPI 1861649758
Title
President
Phone
(775) 843-2297

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5955 NV Primary

Addresses

Primary practice location

1080 N Hills Blvd # 150
Reno, NV 89506-6744

Mailing address

1080 N Hills Blvd # 150
Reno, NV 89506-6744

Other names 1

  • Sage Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

1080 N Hills Blvd
#150
Reno, NV 89506
Phone (775) 677-0790

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1408060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408060800000",
    "number": "1417356452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 N HILLS BLVD # 150",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895066744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 N HILLS BLVD # 150",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895066744",
            "telephone_number": "775-843-2297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSHUA BRANCO DMD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-15",
        "last_updated": "2014-08-15",
        "status": "A",
        "authorized_official_last_name": "BRANCO",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "775-843-2297",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "5955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sage Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 15, 2014; 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.