Branham Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BRANHAM DENTAL LLC

Practice address

4610 Meadows LN Ste B
Las Vegas, NV 89107-2965

Phone

(702) 878-7700

Fax

(702) 878-4630

NPI assigned

Dec 14, 2021

Organization subpart

No

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

Authorized official

Name

Steve Branham

Title

Owner

Phone

(702) 878-7700

Specialties & licenses 2

Addresses

Other names 1

• Simister and Branham 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.

• Jay Thomas Denton, DDS

  • General Practice Dentistry
  • Las Vegas, NV
  • NPI 1831487701
  NPD (past)

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

{
    "created_epoch": "1639440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639440000000",
    "number": "1922767276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4610 MEADOWS LN STE B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891072965",
            "telephone_number": "702-878-7700",
            "fax_number": "702-878-4630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4610 MEADOWS LN STE B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891072965",
            "telephone_number": "702-878-7700",
            "fax_number": "702-878-4630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANHAM DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-14",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-07",
        "status": "A",
        "authorized_official_last_name": "BRANHAM",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-878-7700"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Simister and Branham Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Dawn Lewis Brandt, PT
• Nancy Brandt
• Nancy Elizabeth Brandt
• Zacharia Brandt
• Kirstyn Brandwein
• Michael Branham
• Robin Suzanne Branham, APRN
• Stephen James Branham, DDS
• Thomas Brian Branklin
• Belinda Brann

• General Practice Dentistry in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• General Practice Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; 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.