Timothy P. Reardon D.D.S., M.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

64270 Issued in NV

Legal business name

TIMOTHY P. REARDON D.D.S., M.S.

Practice address

8490 S Eastern Ave Ste a
Las Vegas, NV 89123-2806

Phone

(702) 260-8241

Fax

(702) 260-8251

NPI assigned

Feb 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Timothy P. Reardon, D.D.S., M.S.

Title

President

Phone

(702) 260-8241

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023158375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8490 S EASTERN AVE STE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891232806",
            "telephone_number": "702-260-8241",
            "fax_number": "702-260-8251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8490 S EASTERN AVE STE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891232806",
            "telephone_number": "702-260-8241",
            "fax_number": "702-260-8251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY P. REARDON D.D.S., M.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REARDON",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-260-8241",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NV",
            "license": "64270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Leann Timms, NP
• Lidia Timofeenko Petersen
• Timothy Ho DMD, Inc
• Timothy J Ladner MD Professional Corporation
• Timothy M. Tolan, M.D., Inc.
• Timothy T Sauter, MD LTD
• Larry Timpson
• Emerie Tims
• Yvette Priscilla Tinajero
• Jeoffrey Tinapay, DNP, APRN, NP-C

• Orthodontics and Dentofacial Orthopedics Dentistry in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.