Reno Dental Partners, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

RENO DENTAL PARTNERS, LLC

Doing business as

Boca Dental and Braces

Practice address

695 E Moana LN
Reno, NV 89502-4721

Phone

(702) 844-0510

NPI assigned

May 18, 2023

Last updated

Nov 1, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Wyatt Stott Dannels, DDSNPI 1578997862

Title

Owner

Phone

(480) 209-5722

Specialties & licenses 1

Addresses

Other names 1

• Boca Dental and Braces Doing business as

Tax ID family

Boca Dental and Braces2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Reno Dental Partners, LLC

  • General Practice Dentistry
  • Sparks, NV
  • NPI 1164295325
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Wyatt S Dannels, DDS

  • Dentist
  • Gilbert, AZ
  • NPI 1578997862
  NPD Authorized official

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

{
    "created_epoch": "1684368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698796800000",
    "number": "1114618295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8989 W FLAMINGO RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891470431",
            "telephone_number": "702-844-0510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 E MOANA LN",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895024721",
            "telephone_number": "702-844-0510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENO DENTAL PARTNERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-18",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A",
        "authorized_official_last_name": "DANNELS",
        "authorized_official_first_name": "WYATT",
        "authorized_official_middle_name": "STOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-209-5722",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boca Dental and Braces",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Reno Center for Health LLC (Reno Health Institute)
• Reno Chiropractic Center Inc
• Reno Community Pain and Spine Clinic LLC
• Reno Counseling Collective, LLC
• Reno Dental Associates, LTD.
• Reno Dentures, L.L.C.
• Reno Emergency Physicians Association, PLLC
• Reno Endoscopy Center, LLC
• Reno Family Chiropractic LLC
• Reno Family Eye Care R Andrew Boren OD a Professional Corporation

• General Practice Dentistry in Reno, NV
• Providers in Reno, NV by specialty
• General Practice Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; 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.