Active NPI
Christopher James McCormick, DDS
- Dentist
- Henderson, NV
National Provider Identifier
1053006007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 8250
- Practice address
- 2570 Wigwam Pkwy Ste 110
Henderson, NV 89074-6225 - Phone
- (702) 757-3399
- NPI assigned
- Apr 6, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 8250 | NV | Primary |
Addresses
Primary practice location
2570 Wigwam Pkwy Ste 110
Henderson, NV 89074-6225
Mailing address
3930 Paradise Rd Unit 317
Las Vegas, NV 89169-4815
Phone (702) 754-8240
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250925000723 | NV | Order and Referring Only - Dentist | 3274038716 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8250 | NV | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Velayo Green Valley Smiles Dentistry, PC | Current | Accepting new patients |
Locations
2570 Wigwam Pkwy
Ste 110
Henderson, NV 89074
Phone (702) 757-3399
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Henderson, NV
- NPI 1588036578
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754956800000",
"number": "1053006007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3930 PARADISE RD UNIT 317",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891694815",
"telephone_number": "702-754-8240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2570 WIGWAM PKWY STE 110",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890746225",
"telephone_number": "702-757-3399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCORMICK",
"first_name": "CHRISTOPHER",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-04-06",
"last_updated": "2025-08-12",
"certification_date": "2025-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NV",
"license": "8250",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.