Active NPI
Brady Nance, DMD
- Dentist
- Henderson, NV
National Provider Identifier
1750512703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7729107
- Practice address
- 1114 Tuscan Sky LN # 101
Henderson, NV 89002-0645 - Phone
- (801) 787-5992
- NPI assigned
- Aug 6, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 7729107 | UT | Primary |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | LL-201-09 | NV |
Addresses
Primary practice location
1114 Tuscan Sky LN # 101
Henderson, NV 89002-0645
Mailing address
1114 Tuscan Sky LN # 101
Henderson, NV 89002-0645
Phone (801) 787-5992
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7729107 | UT | MD | Dentist |
| LL-201-09 | NV | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352764800000",
"number": "1750512703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1114 TUSCAN SKY LN # 101",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890020645",
"telephone_number": "801-787-5992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1114 TUSCAN SKY LN # 101",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890020645",
"telephone_number": "801-787-5992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NANCE",
"first_name": "BRADY",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-08-06",
"last_updated": "2012-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "UT",
"license": "7729107",
"primary": true
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NV",
"license": "LL-201-09",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.