Individual provider Active NPI

William Brent Nash, DDS

  • General Practice Dentistry
  • Henderson, NV
National Provider Identifier
1053468645
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2683 Issued in NV
Practice address
66 N Pecos Rd Ste a
Henderson, NV 89074-7338
Phone
(702) 564-3532
Fax
(702) 458-2292
NPI assigned
Jan 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2683 NV Primary

Addresses

Primary practice location

66 N Pecos Rd Ste a
Henderson, NV 89074-7338

Mailing address

66 N Pecos Rd Ste a
Henderson, NV 89074-7338
Phone (702) 564-3532

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150602001247 WA Order and Referring Only - Other (Non-Physician) 7719208867

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2683NVMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053468645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 N PECOS RD STE A",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747338",
            "telephone_number": "702-564-3532",
            "fax_number": "702-458-2292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 N PECOS RD STE A",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747338",
            "telephone_number": "702-564-3532",
            "fax_number": "702-458-2292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASH",
        "first_name": "WILLIAM",
        "middle_name": "BRENT",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "2683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.