NPIMap

Organization Active NPI

Waggoner-Galea PC

  • Dental Clinic/Center
  • N Las Vegas, NV
National Provider Identifier
1104055037
Registry record updated Jul 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
WAGGONER-GALEA PC
Practice address
6365 Simmons St
#100
N Las Vegas, NV 89031-7292
Phone
(702) 853-7322
NPI assigned
Jul 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2009

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

Authorized official

Name
Dr. William Franklin Waggoner, DDS
Title
Owner, President
Phone
(702) 853-7322

Specialties & licenses 1

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

Addresses

Primary practice location

6365 Simmons St
#100
N Las Vegas, NV 89031-7292

Mailing address

6365 Simmons St
#100
N Las Vegas, NV 89031-7292
Phone (702) 853-7322

Other names 1

  • Pediatric Dental Care Associates at Aliante Parkway Doing business as

National Provider Directory

National Provider Directory

Locations

6365 Simmons St
Ste 100
North Las Vegas, NV 89031
Phone (702) 853-7322

NPI Registry JSON

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

{
    "created_epoch": "1247443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247443200000",
    "number": "1104055037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6365 SIMMONS ST",
            "address_2": "#100",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890317292",
            "telephone_number": "702-853-7322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6365 SIMMONS ST",
            "address_2": "#100",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890317292",
            "telephone_number": "702-853-7322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAGGONER-GALEA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-13",
        "last_updated": "2009-07-13",
        "status": "A",
        "authorized_official_last_name": "WAGGONER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "FRANKLIN",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "702-853-7322",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Dental Care Associates at Aliante Parkway",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in N Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2009; 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.