Active NPI
Brady C Okuda, DMD, MSD
- Orthodontics and Dentofacial Orthopedics Dentistry
- Henderson, NV
National Provider Identifier
1427398478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- S3-350
- Practice address
- 1701 N Green Valley Parkway
BLDG.#1
Henderson, NV 89074 - Phone
- (702) 737-5500
- Fax
- (702) 737-5565
- NPI assigned
- Feb 27, 2013
- Last updated
- Sep 27, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 6443 | NV | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | S3-350 | NV | Primary |
Addresses
Primary practice location
1701 N Green Valley Parkway
BLDG.#1
Henderson, NV 89074
Mailing address
1701 N Green Valley Parkway
BLDG.#1
Henderson, NV 89074
Phone (702) 737-5500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 250016704 | Medicaid | NV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6443 | NV | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| S3-350 | NV | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Okuda Orthodontics, PLLC | Orthodontics and Dentofacial Orthopedics | Current | Accepting new patients |
Locations
1701 N Green Valley Pkwy
Ste 1
Henderson, NV 89074
Phone (702) 737-5500
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Henderson, NV
- NPI 1083373245
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664236800000",
"number": "1427398478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 N GREEN VALLEY PARKWAY",
"address_2": "BLDG.#1",
"city": "HENDERSON",
"state": "NV",
"postal_code": "89074",
"telephone_number": "702-737-5500",
"fax_number": "702-737-5565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 N GREEN VALLEY PARKWAY",
"address_2": "BLDG.#1",
"city": "HENDERSON",
"state": "NV",
"postal_code": "89074",
"telephone_number": "702-737-5500",
"fax_number": "702-737-5565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKUDA",
"first_name": "BRADY",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "DMD, MSD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-02-27",
"last_updated": "2022-09-27",
"certification_date": "2022-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NV",
"license": "6443",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NV",
"license": "S3-350",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "250016704",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.