Individual provider Active NPI

Brandon Jesus Morales, D.M.D

  • Dentist
  • Reno, NV
National Provider Identifier
1487094116
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6703 Issued in NV
Practice address
855 W 7TH St Ste 200
Reno, NV 89503-2706
Phone
(775) 323-0700
NPI assigned
Jun 26, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6703 NV
Dentist 122300000X 6703 NV Primary
General Practice Dentistry 1223G0001X 62473 CA

Addresses

Primary practice location

855 W 7TH St Ste 200
Reno, NV 89503-2706

Mailing address

1885 Becky CT
Reno, NV 89503
Phone (775) 379-8592

Other practice location 1

1205 Baring Blvd.
Sparks, NV 89434-7954
Phone (775) 525-9095

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20161019002502 NV Order and Referring Only - DentistPractitioner - Dentist 7113215484

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
62473CAMDGeneral Practice Dentistry
6703NVMDAnatomic Pathology & Clinical Pathology Physician

NPI Registry JSON

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

{
    "created_epoch": "1372204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1487094116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1885 BECKY CT",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89503",
            "telephone_number": "775-379-8592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 W 7TH ST STE 200",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895032706",
            "telephone_number": "775-323-0700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1205 Baring Blvd.",
            "address_purpose": "LOCATION",
            "city": "Sparks",
            "state": "NV",
            "postal_code": "894347954",
            "country_code": "US",
            "telephone_number": "775-525-9095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORALES",
        "first_name": "BRANDON",
        "middle_name": "JESUS",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-26",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "6703",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "6703",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "62473",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.