NPIMap

Organization Active NPI

Northern Nevada Dental Specialties Group, LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Reno, NV
National Provider Identifier
1285017392
Registry record updated Jul 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
S3-244 Issued in NV
Legal business name
NORTHERN NEVADA DENTAL SPECIALTIES GROUP, LLC
Practice address
5220 Neil Rd
Suite 110
Reno, NV 89502-6505
Phone
(775) 964-8762
NPI assigned
Jul 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2015

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

Authorized official

Name
Roger Helwig
Title
Coo
Phone
(775) 336-1510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X S3-244 NV Primary

Addresses

Primary practice location

5220 Neil Rd
Suite 110
Reno, NV 89502-6505

Mailing address

5220 Neil Rd
Suite 110
Reno, NV 89502-6505
Phone (775) 964-8762

Other names 1

  • Legendary Smiles Doing business as

National Provider Directory

National Provider Directory
Tax ID family
My Kid'S Smile4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1436227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436227200000",
    "number": "1285017392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 NEIL RD",
            "address_2": "SUITE 110",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895026505",
            "telephone_number": "775-964-8762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5220 NEIL RD",
            "address_2": "SUITE 110",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895026505",
            "telephone_number": "775-964-8762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN NEVADA DENTAL SPECIALTIES GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-07",
        "last_updated": "2015-07-07",
        "status": "A",
        "authorized_official_last_name": "HELWIG",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "775-336-1510"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NV",
            "license": "S3-244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legendary Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 7, 2015; 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.