Active NPI
Terry Allen Truesdale, D.D.S.
- Dentist
- Las Vegas, NV
National Provider Identifier
1265707400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2572
- Practice address
- 2381 Renaissance Drive
Suite B
Las Vegas, NV 89119-6498 - Phone
- (702) 798-1060
- Fax
- (702) 798-0295
- NPI assigned
- Mar 21, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2572 | NV | Primary |
Addresses
Primary practice location
2381 Renaissance Drive
Suite B
Las Vegas, NV 89119-6498
Mailing address
2381 Renaissance Drive
Suite #B
Las Vegas, NV 89119-6498
Phone (702) 798-1060
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2572 | NV | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332288000000",
"number": "1265707400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2381 RENAISSANCE DRIVE",
"address_2": "SUITE #B",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891196498",
"telephone_number": "702-798-1060",
"fax_number": "702-798-0295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2381 RENAISSANCE DRIVE",
"address_2": "SUITE B",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891196498",
"telephone_number": "702-798-1060",
"fax_number": "702-798-0295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUESDALE",
"first_name": "TERRY",
"middle_name": "ALLEN",
"name_prefix": "Mr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-03-21",
"last_updated": "2012-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NV",
"license": "2572",
"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 Mar 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.