Brandon McKay Dever, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

55641 Issued in CA

Practice address

4014 Foothills Blvd # 103
Roseville, CA 95747-7233

Phone

(916) 773-4343

Fax

(916) 773-4348

NPI assigned

Oct 31, 2006

Last updated

Oct 27, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Brandon McKay Dever, DDS a Dental Corporation

  dba North Auburn Dentistry

  • General Practice Dentistry
  • Auburn, CA
  • NPI 1750883369
  NPD (past) Authorized official
• Family Dental Practice of Roseville

  • General Practice Dentistry
  • Roseville, CA
  • NPI 1326179631
  NPD (past)

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477526400000",
    "number": "1760568729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 GRASS VALLEY HWY",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956032554",
            "telephone_number": "530-823-2423",
            "fax_number": "530-823-5580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4014 FOOTHILLS BLVD # 103",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957477233",
            "telephone_number": "916-773-4343",
            "fax_number": "916-773-4348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVER",
        "first_name": "BRANDON",
        "middle_name": "MCKAY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2016-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "55641",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "22021",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenya Desautels, CPO
• Steven D Descoteaux, M.D.
• Cynthia A. Descovich, MA
• Karen Anne Dettman, M.S., CCC-A
• Vivian Naomi Devai, OTR/L
• Melanie Selomi Devera
• Ravneet Dhaliwal, MD
• Kanta Dhanda
• Jaspreet Singh Dhanjal, D.O.
• Amanjot Dhanoa, RN

• General Practice Dentistry in Roseville, CA
• Providers in Roseville, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.