Organization Active NPI

Brandon Mizner, DDS, LLC

Doing business as Mizner Family Dental

  • General Practice Dentistry
  • Elkhorn, NE
National Provider Identifier
1902775976
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BRANDON MIZNER, DDS, LLC
Doing business as
Mizner Family Dental
Practice address
2929 N 204TH St Ste 105
Elkhorn, NE 68022-1230
Phone
(308) 380-6764
NPI assigned
Oct 30, 2025
Last updated
Oct 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Authorized official

Name
Dr. Brandon James Mizner, DDSNPI 1780083154
Title
Owner/General Dentist
Phone
(308) 380-6764

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

2929 N 204TH St Ste 105
Elkhorn, NE 68022-1230

Mailing address

224 Tomahawk Cir
Yutan, NE 68073-6402
Phone (308) 380-6764

Other names 1

  • Mizner Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

2929 N 204th St
Ste 105
Elkhorn, NE 68022
Phone (308) 380-6764

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1761782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761782400000",
    "number": "1902775976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 TOMAHAWK CIR",
            "city": "YUTAN",
            "state": "NE",
            "postal_code": "680736402",
            "telephone_number": "308-380-6764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 N 204TH ST STE 105",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680221230",
            "telephone_number": "308-380-6764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDON MIZNER, DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-30",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A",
        "authorized_official_last_name": "MIZNER",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER/GENERAL DENTIST",
        "authorized_official_telephone_number": "308-380-6764",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mizner Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elkhorn, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; 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.