Individual provider Active NPI

Luis J Bravo, D.M.D.

  • General Practice Dentistry
  • Highlands Ranch, CO
National Provider Identifier
1427024876
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8326 Issued in CO
Practice address
9385 S Colorado Blvd Unit 102
Highlands Ranch, CO 80126-5241
Phone
(720) 439-2984
NPI assigned
Feb 26, 2006
Last updated
Aug 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8326 CO Primary

Addresses

Primary practice location

9385 S Colorado Blvd Unit 102
Highlands Ranch, CO 80126-5241

Mailing address

10392 Ravenswood Way
Highlands Ranch, CO 80130-8822
Phone (303) 521-7747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20160426000008 CO Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5698074672

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8326COMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1140912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1427024876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10392 RAVENSWOOD WAY",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801308822",
            "telephone_number": "303-521-7747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9385 S COLORADO BLVD UNIT 102",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801265241",
            "telephone_number": "720-439-2984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAVO",
        "first_name": "LUIS",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-26",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "8326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highlands Ranch, CO

Sources for this page

Verify at the official NPI Registry.