Elizabeth a F Bray PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ELIZABETH A F BRAY PLLC

Practice address

4650 Wedekind Rd Ste 1
Sparks, NV 89431-7722

Phone

(206) 818-3297

NPI assigned

May 21, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Elizabeth Anne Fassburg Bray, DMDNPI 1962767426

Title

Officer/Dentist

Phone

(206) 818-3297

Specialties & licenses 1

Addresses

Other names 1

• Wildcreek Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth Af Bray, DMD

  • General Practice Dentistry
  • Sparks, NV
  • NPI 1962767426
  NPD Authorized official

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

{
    "created_epoch": "1590019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1720601099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4650 WEDEKIND RD STE 1",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894317722",
            "telephone_number": "206-818-3297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 WEDEKIND RD STE 1",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894317722",
            "telephone_number": "206-818-3297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH A F BRAY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-21",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "BRAY",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ANNE FASSBURG",
        "authorized_official_title_or_position": "OFFICER/DENTIST",
        "authorized_official_telephone_number": "206-818-3297",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wildcreek Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Corom Dumayne Eisley, OD
• Audrey Elfiqhi
• Elizabeth Naomi Elias
• Martha Elias
• Milton Elias
• Elizabeth a. Hutson M.D. LTD
• Elizabeth R Jaffe MD Prof. Corp
• Emily Rose Ellerbrock, PT, DPT
• Tarina Elliott
• Lissanne Marie Ellis

• Dental Clinic/Center in Sparks, NV
• Providers in Sparks, NV by specialty
• Dental Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; 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.