Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. BRADLEY DAVID REVENIS DDS
NPI 1609385368
Dentist in Fallon, NV

Q: What is Bradley Revenis's NPI number?

The NPI number for Bradley Revenis is 1609385368. It was assigned to this individual provider in the NPPES registry on September 26, 2017.

Q: What is Bradley Revenis's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Bradley Revenis was last updated on July 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 26, 2017

BRANCH HEALTH CLINIC FALLON, 383 CHURCHILL AVE, FALLON, NV 89406(775) 426-3164 Get Directions Write a Review

NPPES record last updated: July 10, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 10, 2026, Jul 24, 2024, Jul 16, 2024 (3 updates tracked since 2024).

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About Dr. Bradley David Revenis Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRADLEY DAVID REVENIS DDS (NPI 1609385368) is an individual dentist in Fallon, Nevada, licensed in Arizona (9872) and active in the NPI registry since September 2017.

NPPES Registry Identity

NPI1609385368

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. BRADLEY DAVID REVENISCredential: DDS

Location AddressBRANCH HEALTH CLINIC FALLON, 383 CHURCHILL AVEFallon, NV 89406

Mailing AddressNmrtu Fallon, 383 Churchill AveFallon, NV 89406 · (775) 426-3164

Phone(775) 426-3164

Sole ProprietorYes

Enumeration DateSeptember 26, 2017

Last NPPES UpdateJuly 10, 20263 updates tracked since enumeration

NPPES CertifiedJuly 10, 2026

✔ NPI 1609385368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in AZ · 9872

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

BRANCH HEALTH CLINIC FALLON, Fallon, NV 89406

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bradley Revenis's NPI number?

The NPI number for Bradley Revenis is 1609385368. It was assigned to this individual provider in the NPPES registry on September 26, 2017.

Where is Bradley Revenis located?

Bradley Revenis practices at Branch Health Clinic Fallon 383 Churchill Ave, Fallon, NV 89406. The listed phone number is (775) 426-3164.

What is Bradley Revenis's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Bradley Revenis was last updated on July 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.