Individual provider Active NPI

Brian Lee Naylor, DDS

  • General Practice Dentistry
  • Las Vegas, NV
National Provider Identifier
1700316999
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7070 Issued in NV
Practice address
5785 Centennial Center Blvd Ste 180
Las Vegas, NV 89149-7110
Phone
(702) 395-0366
Fax
(702) 645-7433
NPI assigned
Jun 19, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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 7070 NV Primary

Addresses

Primary practice location

5785 Centennial Center Blvd Ste 180
Las Vegas, NV 89149-7110

Mailing address

1080 Winchuck River Rd
Brookings, OR 97415-9384
Phone (541) 813-1358

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
7070NVMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Don C Gilbreth DMD LTD Dentist PastSince Mar 12, 2024 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1700316999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 WINCHUCK RIVER RD",
            "city": "BROOKINGS",
            "state": "OR",
            "postal_code": "974159384",
            "telephone_number": "541-813-1358",
            "fax_number": "541-813-1358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5785 CENTENNIAL CENTER BLVD STE 180",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891497110",
            "telephone_number": "702-395-0366",
            "fax_number": "702-645-7433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAYLOR",
        "first_name": "BRIAN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-19",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "7070",
            "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 Mar 6, 2024; 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.