Individual provider Active NPI

Steven John Brazis, D.D.S.

  • General Practice Dentistry
  • Sacramento, CA
National Provider Identifier
1477572121
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30516 Issued in CA
Practice address
5030 J St Ste 302
Sacramento, CA 95819-3800
Phone
(916) 731-5151
Fax
(916) 731-8743
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 30516 CA Primary

Addresses

Primary practice location

5030 J St Ste 302
Sacramento, CA 95819-3800

Mailing address

6966 Sunrise Blvd # 264
Citrus Heights, CA 95610-3144
Phone (916) 731-5151

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

LicenseStateTypeSpecialty
30516CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Steven J. Brazis DDS, a Professional Corporation General Practice Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477572121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6966 SUNRISE BLVD # 264",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956103144",
            "telephone_number": "916-731-5151",
            "fax_number": "916-731-8743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 J ST STE 302",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958193800",
            "telephone_number": "916-731-5151",
            "fax_number": "916-731-8743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAZIS",
        "first_name": "STEVEN",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "30516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.