William Street Dental Health Center PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

WILLIAM STREET DENTAL HEALTH CENTER PC

Practice address

1621 E William St Ste G
Carson City, NV 89701-3212

Phone

(720) 603-4800

NPI assigned

May 23, 2018

Last updated

Oct 17, 2024By 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

Magdalena Evans

Title

Doctor

Phone

(720) 603-4800

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1527033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1255822466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4643 S ULSTER ST STE 300",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802373028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 E WILLIAM ST STE G",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897013212",
            "telephone_number": "720-603-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM STREET DENTAL HEALTH CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-23",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "MAGDALENA",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "720-603-4800"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.