NPIMap

Organization Active NPI

Waggoner and Associates, PC

  • Dental Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1235588237
Registry record updated Jun 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
S6-17 Issued in NV
Legal business name
WAGGONER AND ASSOCIATES, PC
Practice address
2381B Renaissance Dr
Las Vegas, NV 89119-6498
Phone
(702) 786-6684
NPI assigned
Jun 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2016

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
Phone
(702) 339-6729

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X S6-17 NV Primary

Addresses

Primary practice location

2381B Renaissance Dr
Las Vegas, NV 89119-6498

Mailing address

2381B Renaissance Dr
Las Vegas, NV 89119-6498
Phone (702) 786-6684

National Provider Directory

National Provider Directory
Tax ID family
Kids' Dental Safari2 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.

NPI Registry JSON

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

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465430400000",
    "number": "1235588237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2381B RENAISSANCE DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196498",
            "telephone_number": "702-786-6684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2381B RENAISSANCE DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196498",
            "telephone_number": "702-786-6684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAGGONER AND ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-09",
        "last_updated": "2016-06-09",
        "status": "A",
        "authorized_official_last_name": "WAGGONER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "FRANKLIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-339-6729",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NV",
            "license": "S6-17",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; 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.