Organization Active NPI

Steven V Dryden DDS PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Carson City, NV
National Provider Identifier
1144742933
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
S2-148 Issued in NV
Legal business name
STEVEN V DRYDEN DDS PLLC
Practice address
1470 Medical Pkwy Ste 260
Carson City, NV 89703-4647
Phone
(775) 884-4433
Fax
(775) 884-4459
NPI assigned
Jul 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Steven Victor Dryden, DDSNPI 1952386146
Title
Sole Member
Phone
(775) 884-4433

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X S2-148 NV Primary

Addresses

Primary practice location

1470 Medical Pkwy Ste 260
Carson City, NV 89703-4647

Mailing address

1470 Medical Pkwy Ste 260
Carson City, NV 89703-4647
Phone (775) 884-4433

Other names 1

  • Carson Tahoe Oral and Maxillofacial Surgery Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171006001298 NV Part B Supplier - Clinic/Group Practice 8022383678 Receives reassigned benefits from 1 practitioner
Practice locations: Carson City, NV

National Provider Directory

National Provider Directory

Locations

1470 Medical Pkwy
Ste 260
Carson City, NV 89703
Phone (775) 884-4433

Practitioners & affiliated clinicians

Practitioners 2

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": "1499904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1144742933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1470 MEDICAL PKWY STE 260",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897034647",
            "telephone_number": "775-884-4433",
            "fax_number": "775-884-4459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1470 MEDICAL PKWY STE 260",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897034647",
            "telephone_number": "775-884-4433",
            "fax_number": "775-884-4459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN V DRYDEN DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-13",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DRYDEN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "VICTOR",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "775-884-4433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NV",
            "license": "S2-148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carson Tahoe Oral and Maxillofacial Surgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Carson Tahoe Oral and Maxillofacial Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carson City, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.