Individual provider Active NPI

Braden Shawn Bybee, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Las Vegas, NV
National Provider Identifier
1679223812
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
S2-225 Issued in NV
Practice address
6780 S Fort Apache Rd Ste 130
Las Vegas, NV 89148-5405
Phone
(725) 235-9301
Fax
(725) 235-9302
NPI assigned
Mar 28, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X S2-225 NV Primary

Addresses

Primary practice location

6780 S Fort Apache Rd Ste 130
Las Vegas, NV 89148-5405

Mailing address

342 Spotted Dove St
Las Vegas, NV 89138-6263
Phone (435) 559-4990

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

NPI Registry JSON

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

{
    "created_epoch": "1648425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1679223812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 SPOTTED DOVE ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891386263",
            "telephone_number": "435-559-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6780 S FORT APACHE RD STE 130",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485405",
            "telephone_number": "725-235-9301",
            "fax_number": "725-235-9302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYBEE",
        "first_name": "BRADEN",
        "middle_name": "SHAWN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-28",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NV",
            "license": "S2-225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; 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.