Individual provider Active NPI

Roland Postlewait, DDS

  • Dentist
  • Reno, NV
National Provider Identifier
1184778581
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
664 Issued in NV
Practice address
10595 Double R Blvd
Reno, NV 89521
Phone
(775) 825-8463
Fax
(775) 332-8466
NPI assigned
Jan 22, 2007
Sex
Male
Sole proprietor
No

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
Dentist 122300000X 664 NV Primary

Addresses

Primary practice location

10595 Double R Blvd
Reno, NV 89521

Mailing address

10595 Double R Blvd
Reno, NV 89521
Phone (775) 825-8463

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
664NVMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Smiles Past Accepting new patients

Organizations & group practices 1

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": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184778581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10595 DOUBLE R BLVD",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89521",
            "telephone_number": "775-825-8463",
            "fax_number": "775-332-8466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10595 DOUBLE R BLVD",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89521",
            "telephone_number": "775-825-8463",
            "fax_number": "775-332-8466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POSTLEWAIT",
        "first_name": "ROLAND",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, 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.