Brandon H Joe, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

S4-25 Issued in NV

Practice address

70 N Pecos Rd
Suite B
Henderson, NV 89074-7341

Phone

(702) 990-8787

Fax

(702) 990-8788

NPI assigned

Apr 6, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871615047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 N PECOS RD",
            "address_2": "SUITE B",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747341",
            "telephone_number": "702-990-8787",
            "fax_number": "702-990-8788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 N PECOS RD",
            "address_2": "SUITE B",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747341",
            "telephone_number": "702-990-8787",
            "fax_number": "702-990-8788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOE",
        "first_name": "BRANDON",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NV",
            "license": "S4-25",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• JKD Csfa LLC
• JL Assistingllc
• Joanne Nassar O D P C
• Mary B Jobes, APN
• Kathleen Jocelyn
• Margaret A. Johansen, M.S., MFT
• Tejpaul Johl, DDS
• John B. Siegler, LTD
• John C. Lawyer O.D., LTD.
• John Chan O.D. PLLC (Arclight Eye Care)

• Periodontics in Henderson, NV
• Providers in Henderson, NV by specialty
• Periodontics in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.