Individual provider Active NPI

Roger Densley, D.D.S

  • General Practice Dentistry
  • Henderson, NV
National Provider Identifier
1164632097
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
NV2542 Issued in NV
Practice address
8955 S Pecos Rd Ste 2a
Henderson, NV 89074-7157
Phone
(702) 212-6641
Fax
(702) 307-7969
NPI assigned
May 22, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NV2542 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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
NV2542NVMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Roger Densley DDS PLLC Past Accepting new patients
Amandeep S. Sidhu Professional Corp PastSince Sep 17, 2023 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164632097",
    "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",
            "fax_number": "702-307-7969"
        },
        {
            "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",
            "fax_number": "702-307-7969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENSLEY",
        "first_name": "ROGER",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "NV2542",
            "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 Jul 8, 2007; 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.