Doctor profile · Federal record

Dr. BRADY PETERSEN, DMD, MS

Orthodontics and Dentofacial Orthopedic Dentist · LAS VEGAS, NV

  • NPI 1003346917
  • 9 yrs on file
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
6425 S DURANGO DR STE 120
LAS VEGAS, NV 891137113
(702) 757-5355

Credentials & registration

NPPES · NUCC
NPI registered
June 2017 — 9 yrs on file
Profile last updated
April 30, 2024
Specialty taxonomy
1223X0400X — NUCC code
State license (1)
Nevada #S3-366

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1003346917. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$584
Transactions
10
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Envista Holdings Corporation 10 $584.05

By nature of payment

Food and Beverage
$584