Lucas Max Brand, D.D.S.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

64780 Issued in CA

Practice address

11199 Sorrento Valley Rd Ste 204
San Diego, CA 92121-1334

Phone

(858) 626-8155

NPI assigned

Apr 30, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Keven S Herold, DDS Inc

  dba Torrey Pines Micro Endodontics

  • Endodontics
  • San Diego, CA
  • NPI 1184427379
  NPD

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

{
    "created_epoch": "1430352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1649657420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 PASATIEMPO GLN",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920257357",
            "telephone_number": "760-703-3662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11199 SORRENTO VALLEY RD STE 204",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211334",
            "telephone_number": "858-626-8155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAND",
        "first_name": "LUCAS",
        "middle_name": "MAX",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-30",
        "last_updated": "2022-03-07",
        "certification_date": "2022-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "64780",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "64780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessibel Brand Chavarro
• Adam Jay Brand, DDS, MS
• Charli Erica Brand, RDN
• Katrina Brand, AU.D.
• Kelly Renee Brand, PA
• Joseph Brandel
• Tamara Branden
• Aviva Brandes
• Brandey Dollens Swartz DC, a Chiropractic Corporation
• Arielle Noemi Brandi

• Endodontics in San Diego, CA
• Providers in San Diego, CA by specialty
• Endodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.

Verify at the official NPI Registry.