Organization Active NPI

Roger Densley DDS PLLC

  • Dental Clinic/Center
  • Henderson, NV
National Provider Identifier
1073986907
Registry record updated Oct 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
2542 Issued in NV
Legal business name
ROGER DENSLEY DDS PLLC
Practice address
8955 S Pecos Rd Ste 2a
Henderson, NV 89074-7157
Phone
(702) 212-6641
NPI assigned
Oct 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2015

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

Authorized official

Name
Anna Ryshkus
Title
Office Manager
Phone
(702) 212-6641

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 2542 NV Primary

Addresses

Primary practice location

8955 S Pecos Rd Ste 2a
Henderson, NV 89074-7157

Mailing address

8955 S Pecos Rd Ste 2a
Henderson, NV 89074-7157
Phone (702) 212-6641

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1446163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446163200000",
    "number": "1073986907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8955 S PECOS RD STE 2A",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747157",
            "telephone_number": "702-212-6641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8955 S PECOS RD STE 2A",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747157",
            "telephone_number": "702-212-6641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER DENSLEY DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-30",
        "last_updated": "2015-10-30",
        "status": "A",
        "authorized_official_last_name": "RYSHKUS",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "702-212-6641"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NV",
            "license": "2542",
            "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 Oct 30, 2015; 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.