NPIMap

Organization Active NPI

High Desert Endodontic Specialists

  • Endodontics
  • Reno, NV
National Provider Identifier
1073151411
Registry record updated Dec 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
HIGH DESERT ENDODONTIC SPECIALISTS
Practice address
4104 Caughlin Square
2
Reno, NV 89519
Phone
(775) 826-6111
NPI assigned
Dec 17, 2019
Last updated
Dec 17, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2019

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

Authorized official

Name
Ms. Patty Unknnow
Title
Office Manager
Phone
(775) 826-6111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X Primary

Addresses

Primary practice location

4104 Caughlin Square
2
Reno, NV 89519

Mailing address

4104 Caughlin Square
2
Reno, NV 89519
Phone (775) 826-6111

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1576540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576540800000",
    "number": "1073151411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4104 CAUGHLIN SQUARE",
            "address_2": "2",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89519",
            "telephone_number": "775-826-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4104 CAUGHLIN SQUARE",
            "address_2": "2",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89519",
            "telephone_number": "775-826-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH DESERT ENDODONTIC SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-17",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A",
        "authorized_official_last_name": "UNKNNOW",
        "authorized_official_first_name": "PATTY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "775-826-6111",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; 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.